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Application for Temporary Use of Sidewalk
1. Applicants Name:
2. Address:
3. Phone Number: Email Address:
3. Name of Business:
5. Business Address:
6. Days and Hours of Requested Use:
[NOTE: Only 2 permits per calendar year will be issued to any applicant, and each permit has a
maximum duration of 4 days.]
7. Description of Use: (e.g., sell clothing)
If the applicant is not an individual, the person signing this application acknowledges that he or she has the
authority to act on behalf of the group that is requesting the permit.
Signature of Applicant Date
Title
Indemnification Agreement
The applicant agrees to:
pay on behalf of the City all sums which the City shall be obligated to pay by reason of any liability
imposed upon the city for damages of any kind resulting from use of public property and the public
right of way, whether sustained by any person or person, caused by accident or otherwise and shall
defend at its own expense and on behalf of the City any claim against the City arising out of the use of
public property and the public right of way.
Applicant agrees to provide the City with a certificate of insurance by the last working day before using the
sidewalk.
Signature of Applicant Date
Applicant: Return completed application to:
City Clerk's Office
City of Iowa City
410 E. Washington Street
Iowa City, lA 52240
Any questions can be directed to the City Clerkâs office at 319-356-5042.
Appeal Rights
Any party aggrieved by the City Manager's or designee's decision to grant or deny a permit under this Chapter may
appeal the determination to the City Council if, within five (5) working days after the decision, the party files a
written notice of appeal with the City Clerk. In such event, a hearing shall be held by the City Council no later than
its next regularly scheduled meeting, assuming the appeal is filed in time to allow notice of said appeal in
accordance with Chapter 21 of the Iowa Code.
For City Use Only:
Notice of Decision Granting or Denying the Application
The application is approved. _
The application is denied because ----------------------------
City Manager or Designee Date
Mgr\specialusepermits\tempuse of sidewalk.doc 2 10/11/2017