Laserfiche WebLink
by SIDEWALK CAFE APPLICATION <br />City of South Bend - Board of Public Works <br />227 W. Jefferson Boulevard, Ste.1316 <br />.KF,• South Bend, IN 46601 <br />RESTAURANT/BUSINESS INFORMATION: I <br />Name of Restaurant/Business: The General Deli & Cafe <br />Address of Proposed Sidewalk Cafe: 609 E Jefferson Blvd <br />Mailing Address- 609 E Jefferson Blvd. South Bend, IN 46617 <br />APPLICANT INFORMATION: <br />Applicant Legal Name. <br />John M Barany II <br />Title: 8 Owner ❑ Manager ❑ Other <br />Email Address: thegeneraldeli@yahoo.com <br />Phone: 574-220-6659 <br />INCLUDE THE FOLLOWING ITEMS WITH YOUR APPLICATION: I <br />❑ Completed application including $10 fee. Make checks payable to City of South Bend. <br />❑ Site plan depicting the proposed sidewalk cafe showing placement/dimensions. <br />❑ Completed Agreement <br />❑ Certificate of Insurance ($1,000,000/occurrence and $300,000 person naming the City <br />of South Bend as additional insured) <br />AFFIRMATION <br />I, the undersigned, agree that I will abide by all of the provisions of Section 18-15 of the <br />South Bend Municipal Code and with all the provisions stated above as conditions of the <br />issuance of this Permit. I further agree to indemnify, defend and hold harmless the City of <br />South Bend from any liability, loss, cost, damage or expenses, including attorney fees, which <br />the City may suffer or incur as the result of any use of the public sidewalks for a sidewalk <br />cafe as permitted herein. I do hereby certify and affirm that all the information given in this <br />application is true to the best of my knowledge. <br />Signature of Applicant: -—�` Date: <br />OFFICE USE ONLY: �' ( 0 <br />Date Received: �� Fee Paid: pproval Date: <br />