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2. Businesses must be properly licensed in the City of Buffalo in order to obtain permission via this application. Licenses should be available upon request.
4. Applicant Organization Name*
6. Name of Individual Business(es) if different
8. Business Address (operating location)*
10. City*
11. State*
12. Zip Code*
14. Contact Name *
15. Contact Phone *
17. Contact Email*
18. Type of Exterior Premises Requested*
    -- Select One --Use of Privately Owned LotUse of City SidewalkOn-Street Parking Lane ClosureStreet ClosureUse of other type of public space or park adjacent to the business
20. Describe in detail how compliance with social distancing guidelines has reduced merchandising or seating opportunities inside your current building*
22. Have you submitted a New York State Safety Reopening Plan? *

    1. Yes
    2. No
23. Please upload your New York State Safety Reopening Plan*
    The City MUST have a copy of the New York State Safety Reopening Plan before your application can be approved.
25. YOUR APPLICATION WILL NOT BE ACCEPTED WITHOUT UPLOADING A NEW YORK STATE SAFETY REOPENING PLAN
    CLICK HERE FOR NYS SAFETY REOPENING PLAN

    PLEASE STOP THIS APPLICATION AND RETURN ONCE YOU HAVE DRAFTED A NEW YORK STATE SAFETY REOPENING PLAN TO UPLOAD. USE THIS LINK TO BEGIN THE PROCESS.
27. New York State Liquor Authority Guidance on Outdoor Expansion of Licensed Premises in Response to COVID-19 Outbreak | Liquor Authority
    New York State Liquor Authority Guidance on Outdoor Expansion of Licensed Premises in Response to COVID-19 Outbreak
29. Please upload a photo(s) of the desired area for the exterior premises you wish to place outdoor seating or merchandise your product*
30. Please upload a detailed site-plan to scale of the area proposed for use as an exterior premises indicating how tables, racks, displays, signage, etc. will be placed in the area in a manner that complies with social distance guidelines*
    Indicate on the drawing if the business plans to use on-street parking that is currently available, and if so, how many spots. Also show the existing curb line location and any existing trees, hydrants, bike racks, sign posts, trash receptacles, etc.
32. Please upload your SLA Permit*
33. Please indicate which days of the week you wish use the exterior premises*

    1. Sunday
    2. Monday
    3. Tuesday

    1. Wednesday
    2. Thursday

    1. Friday
    2. Saturday
35. Please indicate dates you wish to set up the exterior premises*
    Please indicate dates you wish to set up the exterior premises Start Date

    —

    Please indicate dates you wish to set up the exterior premises End Date
36. Please indicate during which times of the day you wish to use the exterior premises
    Please indicate during which times of the day you wish to use the exterior premises Start Time

    —

    Please indicate during which times of the day you wish to use the exterior premises End Time
    Exterior premises will not be permitted to operate later than 11:00 p.m.
38. Please indicate what times you will be operating on Saturday
    Please indicate what times you will be operating on Saturday Start Time

    —

    Please indicate what times you will be operating on Saturday End Time
    Exterior premises will not be permitted to operate later than 11:00 p.m.
39. Please indicate what times you will be operating on Sunday
    Please indicate what times you will be operating on Sunday Start Time

    —

    Please indicate what times you will be operating on Sunday End Time
    Exterior premises will not be permitted to operate later than 11:00 p.m.
40. Please indicate during which times of the day you wish to use the exterior premises on WEEKDAYS*
    Please indicate during which times of the day you wish to use the exterior premises on WEEKDAYS Start Time

    —

    Please indicate during which times of the day you wish to use the exterior premises on WEEKDAYS End Time
    Exterior premises will not be permitted to operate later than 11:00 p.m.
42. Plan Description Instructions
    CLICK HERE TO REVIEW INSTRUCTIONS ON SUBMITTING YOUR PLAN DESCRIPTION
44. Please describe your plan according to the instructions above*
46. If you are requesting a street closing, please upload a security plan reflecting the number of personnel, hours, and locations
47. If you are an individual business/restaurant applicant, please upload any letters of support. This is not a requirement, but it can help lessen the review time for the application.
49. City of Buffalo Hold Harmless Agreement and Copy of Insurance
51. This will be required after approval for applications requesting use of property owned by the City of Buffalo, but before the exterior premises can be used.
53. All businesses must obtain liability insurance policy in the amount of not less than one million dollars ($1,000,000.00), or a larger amount in the discretion of the City, with the City of Buffalo named as an additional insured. This insurance policy must specifically include the external premises
55. This application grants permission for the use of exterior areas only on property owned by the applicant or the City of Buffalo. The applicant is responsible for securing permissions required by other governmental authorities or entities (e.g., State Liquor Authority, Erie County Department of Health)
57. City of Buffalo reserves the right to request additional information from the applicant. Failure to comply with the details of the plan submitted and approved; requisite rules and regulations or the City of Buffalo and other authorities; and more specifically, failure to meet social distancing requirements, will result in the revocation of the privilege granted to use the exterior premises.
59. Please Upload Hold Harmless Agreement *
60. Please Upload Certificate of Insurance*
62. Hold Harmless Agreement Link
    CLICK HERE FOR HOLD HARMLESS AGREEMENT
64. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
66. Electronic Signature
Leave This Blank:


68. 1. Receive an email copy of this form.
69. Email address

    This field is not part of the form submission.

70. Submit

* indicates a required field