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INFORMATION SHEET FOR SIDEWALK USE PERMITS <br /> People seeking a sidewalk use permit should utilize this information sheet to provide the County <br /> Council with the necessary information and documentation as required by Chapter 22, Division 5, <br /> of the Hawaii County Code 1983, as amended. <br /> Applicant Name: ~ <br /> Q h' r b-~~ n1< ~e ~Gn~ h i~ .Sho <br /> Business Name and Address <br /> CLubh use ltle S ~6 amehumeha ~ ve . <br /> NatureJType of Business: ~ <br /> Yle~; ~ ~Sec~ h~~sG• M~rc{~ranc~r52 <br /> Address of Sidewalk Where Permit Is Requested: <br /> X16 I(amebarnchcc flute <br /> Services/Goods To Be Placed On Sidewalk: <br /> .~G- x 3~ Snnr~tarc~t ~n„II <br /> <br /> _ Date(s) of Use Requested: r L[11 <br /> Please attach the following: c <br /> u <br /> c-~ <br /> - ? Description of sidewalk. (Please include measurements and an accurate des~ipiiorY4~f ~ <br /> -pedestrian cieazance available after goods/services aze placed on the sidewalk. N ' " <br /> o <br /> - ? Written consent from both the owners and lessees of land, directly abutting the sidewalk <br /> azeas in question, approving the applied for use. - <br /> W <br /> 'In-addition, applicants requesting permits for cafe table service must attach the folTowins~--~ <br /> ? A copy of a current certificate of insurance or a copy of a public liability insurance policy <br /> including as an additionally named insured the County, its officers, representatives, <br /> employees, and agents, covering any claim or liability for damages, injuries or death. The <br /> minimum amount of coverage shall be $500,000 per occuaence for bodily injury or death <br /> and $50,000 per occuaence for property damage. (Please attach.) <br /> Conditions:. ~ <br /> ? The sidewalk in use must allow for unobstructed and unimpeded pedestrian traffic. <br /> ? The goods/services may not exceed a height of four feet. ~ <br /> ? All goods/services must be removed at the close of business hours. <br /> ? The applicant shall indemnify and save harmless the County, the officers and agents thereof, <br /> from all claims, demands, suits, actions or proceedings of every name, character, and <br /> description which may be brought against the County for or on account of any, injuries or <br /> damages to any person or property received or sustained by any person by or in <br /> consequence of any act or acts of the holder of the permit for actions done under this permit. <br /> Comm. 1>ra~_ <br /> FSIe I4o. .5~1'~ <br /> Itet. To: H58PWC <br /> Ret. Date SEP 2 0 lgq~, <br /> <br />