Required fields are marked with asterisks (*)

Restaurant Sidewalk Patio Application Form

Please note the applicant shall not install a patio prior to receiving approval of application for licence. Refer to by-law 14-2024 & Sidewalk Patio Guidelines prior to applying.

1. Business Name

2. First Name

3. Last Name

4. Title

5. Phone

6. Email

7. Business Address

Street Address

PO Box

Postal Code

8. Mailing Address (if different from business address)

Street Address

PO Box

Postal Code

9. Have you completed the mandatory meeting with Economic Development staff?

Yes

10. Proposed Patio Installation Date (not earlier than May 1)

11. Proposed Patio Removal Date (must be removed by October 15)

12. My patio is being provided by a 3rd party provider

Yes

13. My sidewalk patio is self-designed and constructed. I understand that the design must meet the guidelines in the Sidewalk Patio By-law and Ontario Building Code

Yes

14. In line with the site meeting, I am submitting an application for:

Patio-on-sidewalk (mandatory if site conditions allow)

Patio-on-street (only where site conditions require this, with a maximum of 2 parking spaces)

15. Please describe your proposed patio set-up and any information to accompany the attachments: (Specify the number of tables/chairs/umbrellas and describe all other furnishings)

16. Please upload your patio design / location (up to 4 files, 25MB in size) - Include design (noting materials, dimensions), a bid's eye view, elevations and photos showing the proposed location of the patio, and any other design details)

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I agree to the following terms and conditions:

I agree to follow the terms outlined in the Seasonal Sidewalk Patio Bylaw No. 14-2024 and applicable guidelines.
The constructor of the sidewalk patio has liability insurance to work on the municipality's right-of-way.
The business has a minimum of $2,000,000 liability insurance with the Town of Prescott named as an additional insured.
I/we hereby agree to assume liability for all damages incurred as a result of offering a sidewalk patio.
I/we herby agree to indemnify and hold harmless The Town of Prescott from any actions, claims, suits or demand made by any person arising out of the issuance of this application.

17. By selecting 'Yes' below, you are agreeing to the terms and conditions stated above

Yes

18. Please upload a copy of the constructor's certificate of insurance (if applicable)

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19. Please upload a copy of the business's certificate of insurance with the Town of Prescott added as an additional insured ($2 million)

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20. Please upload proof of valid AGCO licence (if applicable)

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21. Please upload a letter of permission from the building owner (if you are not the owner of the building)

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

The $25 application fee can be sent via e-transfer to accountsreceivable@prescott.ca. Note Patio Application Fee in the memo area.