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2. INSTRUCTIONS
   Fill out the form and attach all required documents, as indicated. An original application with the Applicant's and Owner's signature is required prior to final approval. The original application can be mailed to or dropped off at City Hall, 1000 City Center Circle, Port Orange, FL 32129.
4. Printable PDF Form - Required
   Link to printable application.

   Submit an original signed copy of this application to City Hall prior to final approval.
6. Submittal Checklist*

   1. 24-Hour Contact Information
   2. Sketch of area to be used
   3. Permission from Property Owner
8. RESTAURANT INFORMATION
   24-hour contact required.
10. Restaurant Name*
11. Contact's Name*
13. Address*
15. Phone Number*
16. Email Address*
18. PROPERTY OWNER INFORMATION
20. Owner's Name*
22. Owner's Address (Including City, State, Zip)*
24. Phone Number*
25. Email Address*
27. Upload Required Documents Here*
    Sketch of area to be used (aerial, photograph or site plan) detailing layout of proposed outdoor operations including, but not limited to, location of tables (including separation distances between tables), tents or umbrellas, parking areas, waste disposal areas, fencing, exits and entrances into temporary area, etc., and the number of seats requested.
29. Applicant's Acknowledgement*

    1. I acknowledge all above information is accurate . I understand an original copy of the signed application is to be submitted to City Hall prior to final approval.
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field