New Submission

Business Name*

Property Address*

Contact Name*

Phone*

Email*

Product Type*

Is the product to be displayed typically carried at this location?

YesNo

Hours*

Will product only be displayed during normal business hours, (while the store is open to the public)?

YesNo

Obstructions*

Are all doors, operable windows, electric panels, fire department connections to remain unobstructed?

YesNo

Sidewalks*

Will all sidewalks have at least a four-foot clear width at all times?

YesNo

Sales*

Will all sales transactions will take place inside the building?

YesNo

Display %*

Will the display take up less than 20-percent of the business frontage?

YesNo

Vision*

Will proper vision clearance be maintained for vehicle and pedestrian traffic?

YesNo

Weather*

Will product only be displayed during favorable weather conditions?

YesNo

Size*

Will the display be less than six-feet in height?

YesNo

Location*

Will the product be placed within six-feet of the face of the building and not in parking stalls, drive aisles, alleys, streets or roads?

YesNo

Surface*

Is product to be placed on a hard surface such as concrete, asphalt or paver bricks?

YesNo

Obstructions*

Will a minimum of four–feet of clearance be maintained between the outside display and landscaping, utility poles, signs, fire hydrants, shelters and other similar obstructions?

YesNo

IF YOU ANSWERED NO TO ANY OF THE ABOVE LISTED QUESTIONS A PERMIT CANNOT BE APPROVED FOR OUTSIDE DISPLAY

The display of alcoholic beverages, tobacco, fire arms, adult oriented items or other product that a minor (as defined by Federal, State or local ordinance) is prohibited from purchasing by law, shall not be permitted outside the building. McHenry County Health Department approval must be obtained prior to placing anything on display that can be eaten, consumed or ingested. The use of signage, pennants, banners, flags (other than American) lighting, electric, amplification or noise to attract attention is prohibited. The display shall immediately be removed anytime the City determines a clear sidewalk is needed because of traffic, street cleaning, maintenance, utility work, crowd control, parade, emergency, or violation of any of the above listed conditions.

I HEREBY DECLARE THAT THE INFORMATION HEREIN AND ATTACHED IS CORRECT AND AGREE IN CONSIDERATION OF AND UPON ISSUANCE OF PERMIT, TO DO OR ALLOW TO BE DONE ONLY SUCH WORK AS HEREWITH APPLIED FOR AND THAT SUCH PREMISES AND ITS EXISTING AND PROPOSED BUILDINGS AND STRUCTURES SHALL BE USED OR ALLOWED TO BE USED FOR ONLY SUCH PURPOSES AS SET FORTH.

Signature*

Date*

Outside Display of Merchandise Application