Patio Application Option 1

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Thank you for your interest in a patio!

This Patio Program application, as outlined on edmonton.ca/patios, is for:

Option 1: Small Sidewalk Patio

Please read the Patio Program Guide that is on our website, complete this application form and reach out to vibrantstreets@edmonton.ca if you have any questions.

Personal information is collected for the purpose of the Patio Program and will be used to process your proposal and to provide you with information updates, including ways to improve the service. Collection is authorized under section 33(c) of the Freedom of Information and Protection of Privacy (FOIP) Act and is managed and protected in accordance with the Act. Questions about the collection, please contact Jenny Albers, 10111 104 Avenue NW, Edmonton, Alberta, T5J 0J4, 780-499-1517 or jenny.albers@edmonton.ca.

Business Legal Name (the name on your corporate registry)

Business Trade Name (the name on your business signage)

Contact Person (First name, Last name)

Contact Person's Role

Business OwnerBusiness Manager

Contact Email

Contact Phone

Business Licence Number

Business Licence Number (e.g. 123456789-001 or 000123456-001)

Business Address (as shown on the Business Licence)

City

Postal Code

I confirm that my business is an eating or drinking establishment.

YesNo

I confirm that my business has zoning approval for one of the following uses: Bars and Neighbourhood Pubs, Breweries, Wineries, Distilleries; Restaurants or Specialty Food Services.

YesNo

Will you be operating a seasonal or year-round patio?

SeasonalYear-round

Patio Plan

A Patio Plan is a drawing that identifies what portion of the sidewalk space will be used for the temporary patio.

Please upload 2-3 photos of the business frontage (including adjacent businesses).

If you have difficulty uploading the files, please email the files as an attachment to vibrantstreets@edmonton.ca with "Option 1 Patio - BUSINESS TRADE NAME" subject line.

Please upload a Patio Plan

The drawing must showcase the patio location relative to the business frontage. Illustrate the proposed layout of the patio including locations and quantity of tables and chairs, clearly indicate where the 2m of pedestrian space will be accommodated, and identify any City Assets that are directly adjacent to the patio area, such as trees, tree grates, waste receptacles, fire hydrants, street light poles, or any accessory street furniture.

Patio Plan

Declaration Option 1: Small Sidewalk Patio

By checking the following box, I confirm that:

I have read and agree to comply with the Small Sidewalk Patio Requirements on Public Property

Please read, print and sign the Declaration and upload the signed version of the declaration here. If you have difficulty uploading the file, please email the file as an attachment to vibrantstreets@edmonton.ca with "Option 1 Patio - BUSINESS TRADE NAME" as the subject line.

Patio Application Option 1

Patio Program Application - Option 1

Patio Plan

Declaration Option 1: Small Sidewalk Patio