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Annual Outdoor Dining Permit Application

  1. Annual Outdoor Dining Permit Application

    Community Development Department - Building Division 1st Floor - 5127 Oakton St. Skokie, IL 60077 Phone: 847/933-8223 Fax: 847/933-8230

  2. Skokie Seal

  3. Business Applicant Information

  4. Use:

  5. Signature of applicant or authorized officer/agent confirming that all information on this application is accurate and correct, he or she has read and understands the attached Outdoor Dining Regulations Handout and understands that any violation of the Outdoor Dining Regulations may result in citations, fines and or revocation of the Outdoor Dining Permit.

  6. 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.

  7. Property Owner Information

  8. Signature of owner or authorized officer/agent consenting to tenant’s application for an outdoor dining permit.

  9. 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.

  10. Outdoor Dining Information

  11. Zoning Classification:

  12. Location:

  13. Submittal Requirements:

  14. Fee Schedule

  15. Private Property only - $200

  16. Public right-of-way only - $400

  17. Both private and public right-of-way $500

  18. This is an annual permit fee. Each year you will automatically receive a bill for the Outdoor Dining Permit that will be included with your Certificate of Occupancy renewal notice and bill.

    Payments may be mailed or delivered to the Building Division - 5127 Oakton St. Skokie, IL 60077

  19. Leave This Blank:

  20. This field is not part of the form submission.