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Application for Temporary Outdoor Dining Area (TODA)

  1. General Information

  2. Is business currently permitted as a restaurant?*

  3. Does resturaunt have a Liquor License to Serve?*

  4. Are all inspections for business current and valid?*

  5. If the business owner does not own the land where the proposed dining are will be, you will need to receive authorization from the owner

  6. Site Plan

    Site Plan does not have to be professionally drawn.

  7. a. Dimensions of the entire parking lot. Include the total number of spaces and handicap spaces. b. Dimensions of the portion of the parking lot to be used for outdoor dining. Include the number of spaces that will be used for dining. c. Locations of curb cuts with ramps to the parking lot, if applicable. d. Layout of tables and chairs (Tables must be 6’ apart to facilitate social distancing). e. Dimensions of tables. f. Barriers to be used to protect diners from vehicles and their locations (i.e. at entrance(s) to parking lot, around the portion of the lot being used for outdoor dining, etc.). (see Acceptable Barrier Link below) g. Proposed tents. 50% of the tent cover’s perimeter must be open. Tents require additional Town of Middleton permitting.

  8. Will you be erecting a tent?*

    50% of the tent cover’s perimeter must be open

  9. Will the dining area be lighted?

  10. Will heaters be used?

  11. Will music be played in/for the TODA?

  12. Food Preparation

  13. Will there be food preparation or storage occurring in the exterior area of the premises? *

  14. Pouring License

  15. If yes, will you be serving alcohol in the outdoor dining area?

    If you answer yes, upload a signed Liquor License Liability Disclaimer in the space provided.

  16. COVID-19 SAFETY PROTOCOL PLAN

    You are required to: 1. certify below that you have or will follow all the Safety Protocol procedures below and 2. download a Safety Protocol Affidavit; sign, scan, and upload in the space provided.

  17. I. Social Distancing. Check the boxes to certify that you have or will:*

  18. II. Hygiene Protocols. Check the boxes to certify that you have or will:*

  19. III. Staffing and Operations. Check the boxes to certify that you have or will: *

  20. IV. Cleaning and Disinfecting. Check the boxes to certify that you have or will: *

  21. 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.

  22. Leave This Blank:

  23. This field is not part of the form submission.