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On-Premises Alcohol/Common Victualler Outdoor Dining Expansion Application for Private Property/Parking Lot

2. Entity Name*
3. DBA*
5. First Name*
6. Last Name*
8. Business Address*
10. Owner*
11. Liquor License Manager of Record*
13. Primary Contact Email Address*
14. 24-hour Contact Number*
16. Proposed Hours of Operation*
18. Parking Lot/Land Owner*
19. Evidence of Control of Extended Premises
    If you do not own the parking lot or land you are seeking to extend your premises onto, you must include evidence of control of extended premises.
21. Do any other businesses share the parking lot besides your restaurant?*

    1. Yes
    2. No
22. If yes, include a letter from all other users.
    If the restaurant is not the only user of the parking lot, the other users of the lot must indicate their knowledge and support of the use of the lot for outdoor dining by submitting signed acknowledgment of the restaurant's plans.
24. Are there any sidewalks or other areas not under the licensee’s control that will need to be crossed to get to the extended premises?*

    1. Yes
    2. No
25. If yes, please review the following:
    Currently, the ABCC's position is that licensees will need an easement to cross the sidewalk in order to be deemed contiguous. If this is the case, we will address these concerns on a case by case basis.
27. How many tables and chairs are you proposing to put in the outdoor dining area?*
    NOTE: Patrons must be positioned so to maintain at least a 6 foot distance from all other patrons and any high foot traffic areas.
29. Will you be erecting a tent?*

    1. Yes
    2. No

    If yes, you must contact the Building Department to receive approval. NOTE: Tents may NOT have walls
30. Photo or Plan for Barriers*
    Please upload a photo or plan of the barriers that will be used to protect diners from vehicles and identify the locations (i.e., at entrance(s) to parking lot, around the portion of the lot being used for outdoor dining, etc.).
32. Description of Alteration of Premises*
    Please summarize, in detail, the alterations you plan to make and highlight specific changes from the last-approved premises.
34. Detailed Floor Plan*
    Please upload a detailed plan that includes: dimensions of the entire parking lot (include the total number of spaces and handicap spaces), dimensions of the portion of the parking lot to be used for outdoor dining (include the number of spaces that will be used for dining), locations of curb cuts with ramps to the parking lot, if applicable; layout of tables and chairs (NOTE: Tables must be 6’ apart to facilitate social distancing); dimensions of tables; photo or description of barriers to be used to protect diners from vehicles and their locations (i.e. at entrance(s) to parking lot, around the portion of the lot being used for outdoor dining, etc.).
36. ADA Accessibility
    The outdoor dining areas and barriers must be accessible and meet ADA and Massachusetts Architectural Access Board's regulations: https://www.mass.gov/law-library/521-cmr
40. Certification of Compliance with ABCC Guidelines For Extension of Premises to Patio & Outdoor Areas
    By signing below, I being the owner or manager of the above referenced establishment located at the address indicated above, acknowledge, accept, and will comply with the guidelines for extension of premises to patio and outdoor areas.
42. Signature*
43. Date*
    Date
45. Certification of Safety Standards and Guidelines
    By signing below, I, being the owner or manager of the above referenced establishment located at the address indicated above, acknowledge, accept, and will comply with the responsibilities of maintaining a clean and safe outdoor dining experience for guests and for staff in the outdoor dining area through the diligent adherence to my submitted plans along with any and all mandatory state safety standards for workplaces and outdoor dining.
47. Signature*
48. Date*
    Date
Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit

* indicates a required field