APP 2016 #21 · Agenda item attachment · Apr 25 2016

DATE 04/1/16 To the honorable, the City Council of the City of Cambridge The undersigned respectfully pray _ located at_ Cambridge Engy Alliance. 344 Broadway Name of Petitioner or Business . Address Be granted permission for a/an ( ) "A" FRAMED SIGN, ( ) SANDWICH BOARD, ( ) DISPLAY OF MERCHANDISE A/Temporary Banners Hung Across Public Way (Abutters approval forms required) | ) # of TABLES, for restaurant seating ( )Y ( )N, () #of CHAIRS REQUESTING ( )Y ( )N Permit Fee: $75.00 per year renewable on or before March 31 intessection of At. Auburn St. In front of premises numbered JFK Street@ Address where sign or seating will be Ang. 1st- 22nd Check the Days off the week Sunday Saturday Tuesday Wednesday Monday Friday Thursday FROM P.M. A.M. TO Time period : All day Petitioner signature CAMBRIDE OFFICE OF Print name here Timothy Grant 2016 APR I1 P Telephonenumber 617/349-4621 904315-5301 Emergency # Email Address PM 3:22 SETS [email protected] PLEASE ATTACH A SKETCH TO YOUR APPLICATION ILLUSTRATING YOUR REQUEST Petitioner must also provide and have on record a Certificate of Insurance Coverage (naming the City of Cambridge) as the holder. Coverage amount should be in the sum of 1,000,000.00

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