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2. Restaurant Name*
4. Restaurant Street Address*
6. Contact Person Name*
8. Phone*
9. Email*
11. Cafe Furniture Dining Set(s)*

    A Cafe Furniture Dining Set includes (1) table, (1) umbrella, and (2) chairs

    How many dining sets do you want?

    1. 1 set
    2. 2 sets
13. Umbrella Stands*

    Please note that the cafe furniture set DOES NOT include a weighted umbrella base. Umbrellas must be mounted in a stable base to prevent accidental or wind-blown tipping. Under no circumstances can the base be less than sixty pounds (60 lbs).

    1. I understand that the umbrella set does not come with a weighted umbrella base
    2. I understand that I must mount the umbrella in a stable base that weighs at least 60 lbs
15. Business License*

    Does the restaurant have an active business license with the City of Tempe City?

    1. Yes

    1. No
17. Sidewalk Dining Permit*

    Does the restaurant have an active sidewalk dining permit?

    1. Yes

    1. No, please send it to me
19. Program Requirements*

    To receive grant funding all businesses must:

    • Have no outstanding code violations;
    • Have proof of liability insurance
    • Have sufficient sidewalk space in front of the building
    • Have a business model that typically allows food and/or drinks to be consumed on the premises
    • Not be a liquor store or bar. (Restaurants that serve alcohol or have a bar may still apply)

    1. I understand
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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

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