APP 2016 #22 · Agenda item attachment · Apr 25 2016

DATBOY /1/16 To the honorable, the City Council of the City of Cambridge The undersigned respectfully pray _ located at Cambridge Energy Alliance 344 Broadway Name of Petitioner or Business • Address Be granted permission for a/an ( ) "A" FRAMED SIGN, | ) SANDWICH BOARD, ( ) DISPLAY OF MERCHANDISE demporary banners Hung Across Public Wa ~ (Abutters approval forms requirec ( ) # of TABLES, for restaurant seating ( )Y | )N, () # of CHAIRS CHAIRS ( )Y \ IN Permit Fee: $75.00 per year renewable on or before March 31 Mass Ave. Getween Pearl & Norfolk In front of premises numbered _, On Address where sign or seating will be Check the Days off the week August. 1=22nd Thursday Tuesday Wednesday Monday Sunday Saturday Friday Time period: , FROI P.M. A.M. TO All day OFFICE Petitioner signature CAMBRIDI Grant Print name here Timothy Telephone number 617/349-4621 [phone removed] Emergency # 2016 APR 11 PM 3:22 ERK. Email Address [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