Application for Patio

Date of Request — 1-year term

Name

First Last

Address

Street Address City Province Postal Code

Phone

Proposed Patio Location (s)

Please provide additional sheets if necessary

Business Name:

Address

Street Address City Postal Code

Patio Information

Proposed number of parking spots required, if any:

Current Occupancy:

Patio Seats Proposed:

Applications will be reviewed on a case-by-case basis. Preference will be given to patios that do not require a bump out. Applications will be circulated to relevant County departments.

Declaration

I hereby declare that all of the above statements are accurate and true, and that I have submitted this request with the knowledge and consent of the owner, if such consent is required.

Signature

Date

Name

Sketches

File(Required)

Max. file size: 512 MB.

For Office Use Only:

A patio(s) is permitted at the above location(s).

Approved By

Signature

Date

File Number

For additional information or assistance in completing this application, please contact the Clerk's office at 519-426-5870 ext 6269 or [email protected]. Applications are to be submitted electronically to [email protected] or may be placed in the drop box Attention: Clerk's Department at 50 Colborne St S, Simcoe, ON