Parklet Application

Application for the City of Perry Parklet and Streatery Program

Applicant Information

* Indicates required field

Applicant Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Property/Business Owner Information (if different than applicant)

Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

The business is required to show evidence of adequate liability insurance for dram, injury, and property damage. The City must be listed as additional insured

Who is your insurance company? *

Please attach a copy of your certificate of insurance *

Max file size: 20MB

Parklet/Streatery Location and Description

Closest address to proposed asset *

Number of parking spaces to be occupied *

Attach a map showing the proposed location *

Max file size: 20MB

Attach a rendering of the proposed platform used. *

Max file size: 20MB

What will the hours of operation be for your parklet/streatery? *

Will alcohol be served? *

Yes No

Why do you want to install a parklet/streatery? *

What do you hope your parklet or a streatery will do for your business & business area? *

What types of activities will your parklet/streatery support? *

Are there any features that you specifically would want to include? *

Please attach any letters of support from neighboring properties you have here *

Max file size: 20MB

Submit