Sidewalk Cafe - South Bend Brew Werks

Home Browse Search

APPLICATION FOR SIDEWALK CAFE PERMIT CITY OF SOUTH BEND, INDIANA DATE Applicant's Legal Name Andrew Elegante Title Business Name South Bend Brew Works Address Telephone Number 216 S Michiean St. South 574-334-0356 Proposed Location and Description of Sidewalk Cafd 216-218 S Michiean St. South Bend. IN 46601 IN 46601 FEE PAID Owner vvwcv 00 Days of Sidewalk Cafd Operation Hours of Sidewalk Caf6 Operation Sun Mon Toes I Wed Thurs Fri I Sat ]la-8 Ila-10 lla-10 ila-10 lla-10p Ila-12a I lla-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 placementidimensions of proposed cafd 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 1, 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 true to the best of my knowledge. � 3/8/2016 Date Owner Title BOARD OF PUBLIC WORKS APPROVAL President Member Member Member Member - 13 Date RETURN FORM TO: Board of Public Works 1316 County -City, Building 227 West Jefferson Boulevard South Bend, IN 46601 Phone: (574) 235-9251 • Fax: (574) 235-9171 • E-Mail: publicwks@southbendin.gov southbendin.gov 0