Sidewalk Cafe - Purple Porch Co-Op

Home Browse Search

APPLICATION FOR SIDEWALK CAF]k PERMIT CITY OF SOUTH BEND INDIANA 1 es6$ L DATE 7I4/20 FEE PAID $10.00 Applicant's Legal Name Krisy Robinson Title General Manager Business Name Purple Porch Co-op Address 123 N Hill St, South Bend, IN 46617 Telephone Number S % �( - 29-7- 02-Y Email Address purpleporch.gm@gmail.com Proposed Location and Description of Sidewalk C66 Days of Sidewalk Caf6 - Operation Sun Mon Tues Wed Thurs Fri Sat Hours of Sidewalk C66 11am-6pm 8am-8pm 8am-8pm 8am-8pm 8am-$pm 8am-8pm 8am-8pm Operation The following information is REQUIRED for completion of a Sidewalk Caf6 Application: 1. Completed/signed application, including a $10.00 fee 2. Drawing(s) and description of proposed sidewalk caf6 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 caf6 as permitted herein. I do hereby certify and affirm that all the in i tion given in this application is true to the best of my knowledge. 7/4/2020 Date Signaturc l" Ap :icant Kristy Robinson Printed Name General Manager Title 13OARD OF PUBLIC WORKS ( —A (�iloi,F caidcni TnorasaJ D iii, Nk—bu �f _--JA �1 li-bolhA Nh dl. Ncmbc� h,�d-N [ (hes,\Ianb.i �'y Z Al ITS'I': r.o,1.c ctifwu. mnph R Vloins b1omba — — - bind, \f. \1.1m.("I rk RETURN FORM TO: 4 Board of Public Works 1316 County -City Building 227 West Jefferson Boulevard South Bend, IN 46601 Phone: (574) 235-9251 0 Fax: (574) 235-9171