2. Sponsor (Business/Organization/Property Owner) Information
4. Applicant Name*
5. Applicant Title*
7. Email Address*
8. Organization*
10. Contact Phone*
12. Mailing Address*
14. City*
15. State*
16. Zip Code*
20. Fronting Property Owner Information (If Different from Sponsor)
22. Applicant Name
23. Applicant Title
25. Email Address
26. Organization
28. Contact Phone
30. Mailing Address
32. City
33. State
34. Zip Code
38. Proposed Parklet Location and Dates
40. Street Address*
41. Dates*
    Dates Start Date

    —

    Dates End Date
43. From Street*
44. To
46. Side of Street being occupied*

    1. North
    2. South
    3. East
    4. West
50. Parklet Designer (if known)
52. Designer Name
53. Designer Firm
55. Phone Number
56. Email Address
60. Parking Information
62. Number of Parking Spaces Occupied*

    1. 1
    2. 2
63. Parking Meter Number*
64. Parking Meter Number #2*
68. Project Narrative and Consent
70. Short Vision Statment*
72. Is this parklet proposed to be used as a Sidewalk Café, as defined by Green Bay Municipal Code*

    1. Yes
    2. No
74. Upload Site Plan*
75. Upload Certificate of Insurance*
77. 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.
79. Electronic Signature*
Leave This Blank:


81. 1. Receive an email copy of this form.
82. Email address

    This field is not part of the form submission.

83. Submit

* indicates a required field