Sidewalk Cafe - 609-613 E. Jefferson Blvd.

Home Browse Search

APPLICATION FOR SIDEWALK CAFE PERMIT CITY OF SOUTH BEND, INDIANA DATE FEE PAID ❑ $ Applicant's Legal Name John M. Baran II Title Owner Business Name The General Deli & Cafe Address 609-613 E. Jefferson Blvd. Telephone Number 574-220-6659 Proposed Location and Description of Sidewalk Cafd Street side seating for customers at cafd tables and picinic tables facing Jefferson Blvd. Days of Sidewalk Cafd Operation Hours of Sidewalk Cafd Operation Sun I Mon II Tues � Wed I Thurs I Fri I Sat 7a-12a 17a-12a ( 7a-12a n 7a-12a 17a-12a 19a-12a The following information is REQUIRED for completion of a Sidewalk Cafd Application: 1. Completed/signed application, including a $10.00 fee 2. Drawing(s) and description of proposed sidewalk cafd showing placement/dimensions of proposed caf6 3. Completed/signed Agreement 4. Certificate of Insurance ($1,000,000/occurance and $300,000/person, naming the City of South Bend as additional insured) AFFIRMATION I, the undersigned, agree that I will abide by all of the provisions of Section 18-15 of the South Bend Municipal Code and with all the provisions stated above as conditions of the issuance of this Permit. I further agree to indemnify, defend and hold harmless the City of South Bend from any liability, loss, cost, damage or expenses, including attorney fees, which the City may suffer or incur as the result of any use of the public sidewalks for a sidewalk cafd as permitted herein. I do hereby certify and affirm that all the information given in this application is true to the best of my knowledge. 01/23/2020 Date S attars of icattt John M. Baran II Printed Name Owner Title.._ _......- � ,.�� ._..._......a.a._.�w._. BOARD OF PUBLIC WORKS APPROVAL LJI Prey e1, , . Member Member er /1 o ; 1? �ellller �11er Date RETURN FORM TO: 4 Board of Public Works 1316 County -City Building 227 West Jefferson Boulevard South Bend, IN 46601 Phone: (574) 235-9251 *Fax: (574) 235-9171