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Sidewalk Usage Permit Application

2. Per the City of Winooski Municipal Code Section 5.09 - Sidewalk Usage Permit: Any resident Winooski business may request the use of adjacent city sidewalk and green space for the purposes of selling merchandise, dining, advertising, or as any other normal extension of their approved business. Notification of this application will be provided to Downtown Winooski, Police, Public Works, Code Enforcement, Fire, and Community Services for approval.

4. Address*

6. Name of Applicant*

   First, Last

8. Today's Date*
   Today's Date

10. Description of Permit Request*

12. Dates of Operation*
    Dates of Operation Start Date

    —

    Dates of Operation End Date

    Total Duration

13. Hours of Operation*
    Hours of Operation Start Time

    —

    Hours of Operation End Time

15. Point of Contact Name*

    First, Last

17. Point of Contact Phone Number*

    ### - ### - ####

18. Point of Contact Email*

20. Total Number of Employees*

22. Location of Public Space Requested (Sidewalk, street, green space, etc.)*

24. Number of square feet requested (Fee of $2.00 per square foot of public right of way used)*

26. Description of equipment to be used (cart, trailer, van, etc.)*

28. Fire Prevention (if applicable)*

30. Exits*

32. Food Served*

34. Water*

36. Restroom Access*

38. Garbage/Recycling*

40. Electric Service*

42. Emergency Vehicle Access*

44. Street Vehicle Access*

46. Traffic Impact*

48. First Aid*

Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit Submit and Print

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