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2. The City of Fredericksburg has developed this form for downtown restaurants seeking to provide outdoor seating for dine-in guests and wishing to ensure compliance with guidelines outlining Phase 1 of Virginia's reopening. Detailed guidelines are available below. Please fill out the below form to inform City officials of your plans for outdoor seating. These will be evaluated ASAP.
4. Guidelines:
   Forward Virginia
6. Submittal of form does not constitute approval.
8. Business Name:*
9. Business Street Address:*
11. Mailing Address: (If different from street address.)
12. City:
13. State & Zip Code:
15. Name of Applicant:*
16. Contact E-Mail:*
17. Contact Phone Number:*
19. Where do you wish to provide outdoor seating?*
20. Please submit maps/sketches of seating area.
22. If parking will be impacted, please describe.
24. How would you ensure compliance with the Phase 1 guidelines and ensure that passersby can safely get around the dining area while maintaining appropriate physical distancing from diners?*
26. Would you need anything from the City for this seating area (bike racks, cones, etc.)? If so, please detail need.*
28. 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.
30. Electronic Signature
31. Date & Time:
    Date & Time:

    Date & Time:
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit Submit and Print

* indicates a required field