OUTDOOR DINING AREA WITH EXTENSION CLK100 (rev. 02/17) CITY ORDINANCES &

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FILED INITIALS ADV/NO ADV OUTDOOR DINING AREA WITH EXTENSION CLK100 (rev. 02/17) CITY ORDINANCES 5.046 & 10.075 Class B, Class B, and/or Class C License(s) LP CC DEMERIT POINTS Fee: $300.00 Expires: December 31, Licensee: District #: (Note: Must be same name as beer/liquor license) Trade Name: Address: Contact Person: Phone: Email: (Correspondence will be via email if address is given) 1. Complete Attachment A List of Adjacent Businesses. (If dining area will extend in front of adjacent business) Attached 2. Provide Specifications if the outdoor dining area is the subject of permanent improvements. Attached N/A (If applicable, must obtain a Street Encroachment Agreement from Department of Public Works) 3. The applicant is operating as a restaurant where the sale of Alcohol Beverages account for less than fifty (50%) percent of the establishment's gross receipts. Yes No (If not, the applicant does not qualify for this license) 4. Complete Attachment B Description of Appurtenances and provide pictures. Attached Pictures 5. The Business must be in one of the following Zoning Districts: B-1 B-2 B-3 B-4 (Circle One) (If not, the applicant does not qualify for this license) 6. Complete Attachment C Indemnity to Hold Harmless. Attached 7. Operational Plan: Hours: Days: Months: The Outdoor Dining Area's operating hours must be consistent with the operating hours of the associated business. If located adjacent to a Residential Zoning district, must be closed from 10:00 PM to 7:00 AM. *The closing hours for an Outdoor Dining Area with Outdoor Extension are 10:00 PM to 8:00 AM. You may request to change these hours to12:00 AM to 8:00 AM Application (CLKCH1) Attached N/A 8. Planned Capacity: Lighting and Signage Plan: Attached N/A 9. Attach a Scaled Site Plan and at least 2 pictures Site Plan Pictures *See Attached Site Plan Sample or contact the Community Development & Inspections Department at 262-653-4030 to schedule an appointment for assistance. 10. Provide proof of Certificate of Liability Insurance Attached Outdoor Dining with Extension, Page 1

11. Does the Outdoor Dining Area extend beyond the frontage of the business? Yes No If yes, attach a written statement signed by the owner(s) and tenant(s) of an adjacent business fronting the street approving the placement of the Outdoor Dining Area in front of their business. Attach this statement to Attachment A. Attached N/A 12.Complete Attachment D affidavit verifying the percentage of gross receipts from the sale of Alcohol Beverages during the past City license year (July 1 st to June 30 th ), where applicable. Attached N/A 13.A fence not less than four (4') feet high and no greater than six (6') feet high is required to surround the outdoor area within the description of the Class B, Class B and/or Class C licensed premises. A fence will surround the outdoor area. Complete the Fence Permit Application in Room 100 (Department of Community Development & Inspections) and attach a copy to this application. OR The Common Council may waive the fence requirement where the licensed premises is operated as a RESTAURANT within the meaning of Section 5.3046 A.10 (of the Code of General Ordinances): Complete Waiver A Fence Waiver Attached PLEASE NOTE: Upon initial application and renewal of an Outdoor Cafe Area Permit, an Applicant shall not have their application approved when the Applicant's business has accumulated fifty (50) or more demerit points under Section 10.063 D. (of the Code of General Ordinances). In accordance with Section 10.076 J.3.f, cabaret licensed activities are prohibited. READ CAREFULLY BEFORE SIGNING: Under penalty provided for by law, the undersigned states that each of the above questions has been truthfully answered to the best of his/her/their knowledge. (Individual applicants and each member of a partnership must sign; designated corporate officers must sign.) Outdoor Dining with Extension, Page 2

VERIFICATION BY COMMUNITY DEVELOPMENT & INSPECTIONS: Zoning Classification: dining), or N/A The outdoor area sought is if SFR, choose: Waiver B1 (Institutional), B2 (Restaurant), B3 (Outdoor ft from any single-family dwelling. If less than 25ft from single family, choose: Waiver B1 (Institutional), B2 (Restaurant), B3 (Outdoor Dining), or N/A if dwelling is two-family, multi-family, zoned B-1, B-2, B-3, B-4 districts; or dwelling within twentyfive (25') feet of said boundary is occupied by the applicant and/or his/her immediate family and no others. The outdoor area has a boundary: within 750 ft of any residentially zoned property. Amplified music/sound is allowed in outdoor area 10:00am to 10:00pm. greater than 750 ft of any residentially zoned property. Amplified music/sound is allowed in outdoor area 10:00am to 1:00am (or earlier in accordance with the closing time of the outdoor area.) Recommendation: (CDI Staff Member) Outdoor Dining with Extension, Page 3

ATTACHMENT A LIST OF ALL ADJACENT BUSINESSES OUTDOOR DINING AREA WITH OUTDOOR EXTENSION CITY ORDINANCES 5.046 & 10.075 Applicant has applied for an Outdoor Dining Area in accordance with 5.046 of the Code of General Ordinances. Please find below a list of names, addresses, and phone numbers of all adjacent businesses to the boundaries of the outdoor dining area. Additionally, attach a written statement from each adjacent business, approving the placement of the Outdoor Dining Area in front of said business. Outdoor Dining with Extension, Page 4

ATTACHMENT B DESCRIPTION OF APPURTENANCES OUTDOOR DINING AREA WITH OUTDOOR EXTENSION CITY ORDINANCES 5.046 & 10.075 According to 5.046 of the Code of General Ordinances, the applicant must provide a detailed description of all cafe appurtenances to be located within the Outdoor Dining Area, identifying the materials with which they are constructed together with photographs. They shall be of such construction and quality such that they are consistent with the business/neighborhood district. Dining Appurtenances shall mean tables, chairs, planters, barriers, railings, walls, signs, benches, waste receptacles, umbrellas and heaters. Pictures Attached Outdoor Dining with Extension, Page 5

ATTACHMENT C INDEMNITY AND HOLD HARMLESS AGREEMENT OUTDOOR DINING AREA WITH OUTDOOR EXTENSION CITY ORDINANCES 5.046 & 10.075 Applicant, in consideration of having the City of Kenosha, Wisconsin grant this application, herein and hereby agrees to indemnify and hold harmless the City of Kenosha, Wisconsin and its officers, employees and agents against any and all losses, claims, damages, costs, expenses, judgments, awards, attorney fees, or settlements which they may incur as a result of use of the public right-of-way or Major Street Setback Area for the Outdoor Dining Area with Outdoor Extension which is the subject of this agreement. Outdoor Dining with Extension, Page 6

ATTACHMENT D AFFIDAVIT I,, being first duly sworn, on oath, do hereby affirm that (Accountant or Bookkeeper) during the past City of Kenosha license year (July 1 st through June 30 th ) the above referenced establishment's alcohol beverage receipts account for less than fifty (50%) percent of the establishment's gross receipts. d this day of,. (Signature of Accountant or Bookkeeper) Personally appeared before me this day of,, the above named to me known to be the person who signed the foregoing affidavit and acknowledged that this statement is true and correct. (Notary Public) My Commission Expires: Outdoor Dining with Extension, Page 7

WAIVER A FENCE WAIVER: for RESTAURANTS only OUTDOOR EXTENSION CITY ORDINANCE 10.075 Applicant has applied for an extension of their Retail Class "B" Fermented Malt Beverage, Class B Liquor, and/or Class C Wine Licenses in accordance with 10.075 of the Code of General Ordinances and requests a waiver of the fencing requirement contained in Section D (3) thereof. In making this request, the applicant states, they are operating as a restaurant as defined by Section 5.046 A.10. Restaurant shall mean any building or room where, as the establishment's primary business, food and/or beverages are prepared, or served or sold to transients or the general public, and where the sale of Alcohol Beverages account for less than fifty (50%) percent of the establishment's gross receipts in the B-1, B-2, B-3, or B-4 Zoning Districts. Outdoor Dining with Extension, Page 8

WAIVER B WAIVER OF PROHIBITIONS SET FORTH IN 10.075 D.1 AND D.3 OF THE CODE OF GENERAL ORDINANCES OUTDOOR EXTENSION CITY ORDINANCE 10.075 Applicant has applied for an extension of their Retail Class "B" Fermented Malt Beverage, Class B Liquor, and/or Class C Wine Licenses in accordance with 10.075 of the Code of General Ordinances and requests a waiver of all of the prohibitions set forth in Section D(1) and D(3) thereof because the licensed premises, including the outdoor area: B1. is located wholly within an area in the City zoned Institutional B2. is operating as a restaurant, with the sale of alcoholic beverages accounting for less than fifty (50%) percent of the establishment's gross receipts in the B-1, B-2, B-3, or B-4 Zoning Districts (as defined by Section 5.046 A.10. Of the Code of General Ordinances) B3. is licensed by the City of Kenosha for Outdoor Dining Please find below a list of names and addresses of all property owners residing within 25 feet of the boundaries of the outdoor area sought to be included within the description of the Retail Class "B" Beer,"Class B" Liquor, and/or Class C Wine licensed premises. This list will be forwarded to the Building Inspector for verification. Received by Building Inspector Outdoor Dining with Extension, Page 9