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Location
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
www.twp.maplewood.nj.us/
Township of Maplewood
{[PNAME]} Application
  • Contact Information
  • Business Information
  • Owners of Premises
  • Other Establishments
  • Attachments
  • Certification
First Name
ZIP
First Name
Address
Last Name
Address
City
Email
State
State
Last Name
Applicant Information
Phone #
Email
ZIP
Phone #
City
Contact Person Information
Manager Information
ZIP
Email
Business Information
State
City
Phone #
State
ZIP
First Name
# of Seats
Name
Manager Same As?
Last Name
Lot
Address
Address
City
Block
Owners' Information
Total % of Ownership
Please add the information for ALL the owners of the premises
Other Establishments
Please add the information for ALL establishments where you operate an outdoor cafe
3. Certificate of Insurance Naming the Township of Maplewood as an additional insured – Bodily Injury/Property Damage ($1,000,000).
Required Attachments
4. If the building owner is not the applicant, a written consent form from the building owner must be admitted.
1. Three sets of plans including layout and composition of tables (hand sketch acceptable).
2. Hold Harmless Agreement.
Type Full Name :
Sign With Hand
Fees
I, the applicant, do certify to the Township of Maplewood and to the Maplewood Public Health Division the following:
  • I am duly authorized to execute this certification and to bind to its terms.
  • I have read and am familiar with the provisions of Governor Murphy's Executive Order No.150 and Executive Directive No. 20-14 that allows OUTDOOR gatherings of 25 persons or less at any one time for social, recreational or other gatherings, see attached.
  • I have instructed all of the establishment's personnel on the terms of this Executive Order & Directive.
  • I have provided all employees of the Establishment with instructions & training on complying with the Executive Order & Directive.
  • I have provided all employees with all necessary marks, gloves, sanitizer necessary to comply with the Executive Order & Directive.
  • I agree that I am responsible to insure compliance by the Establishment with the Executive Order & Directive and that failure to comply with the terms of the Executive Order & Directive or to engage in activity determined by the Maplewood Health Officer to endanger the public health and safety may result in the revocation of the Special Event for Designated Public Spaces Permit.
  • I understand that this permit is strictly limited to events held outdoors on either public spaces or private property.

The forgoing statements are true. If any of the statements are willfully false, I am subject to punishment.

 

$ 150.00
Application Fee
Certification
If you decide to pay online, there is a transaction fee and if you decide against paying online after clicking the link, your application may be lost. However, when you pay in person by exact cash, check or money order, there isn’t a transaction fee.
Fee