Spring/Summer 2021–22 Parklet Program

The following application is to be used for businesses who wish to temporarily extend their outdoor trading with the installation of a Parklet.

You must read and understand the Spring/Summer 2021–22 Parklet Program Guidelines before completing this application form.

You will need to have the following information with you to complete this application:

Your current Footpath Trading Permit number (if you do not have a current permit you can apply online for a fast tracked permit, fees apply)
Public Liability Insurance Certificate of Currency to $20m, which cites Council as an insured party
Have extended Public Liability insurance that cites both Council and the Department of Transport if you are making a submission for use of an on-street parking space on Hawthorn Road, Murrumbeena Road, Centre Road, North Road or East Boundary Road
Letter of consent from 2 adjacent neighbouring business/property owners/ residences
Letter of consent from the local Traders Association/Group (if present)
Intended operating hours for the parklet
Any other supporting information (such as a map or illustration of your plan for the space) to help us assess your submission.

Applicant details

Please note that the person listed as the applicant must be duly authorised to act on behalf of the business holding the current permit.

First name *

Last name *

Email address *

Phone number *

Business details

Current Footpath Permit number *

Trading name *

Trading address *

Australian Business Registration *

Public Liability Insurance Certificate of Currency (please refer to Parklet guidelines for further details, a minimum of $20 Million Public Liability Insurance is required) *

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Applicant agreement

Please note the submission of this application may not result in approval due to the complexity of each request and proposed location.

I agree to comply with Glen Eira City Councils parklet guidelines. *

I agree to comply with all State Governments directives including QR Code check in and social distancing as stipulated at various times. *

I will ensure employees proactively monitor patrons for adherence to all State Government directives including QR Code check in and social distancing as required. *

I agree to clean and maintain the parklet including watering of plants and keeping drainage underneath parklets free of any obstructions including debris and leaves. *

I agree to advise Glen Eira City Council of any concerns around safety of parklets at any time throughout the program *

I agree that Glen Eira City Council officers will regularly inspect the parklet and will adhere to any officer directives stipulated to ensure parklet always remains compliant with guidelines. *

I agree to indemnify Glen Eira City Council in respect of any injury of any person or any damage to any property which may occur in connection with the use of the parklet. *

I acknowledge that submission of this application will be evaluated by Glen Eira City Council against the Parklet Guidelines criteria and submission does not warrant automatic approval of a parklet installation *

I warrant that all the information provided within this application is correct and complete to the best of my knowledge. *

I am not a robot *

Privacy

The personal information requested is required primarily for the provision of the service referred to on this form and will only be shared with those directly responsible for providing that service. If you do not provide the information, we may not be able to deliver the service. If you would like to know more about privacy at Glen Eira City Council, including your right to seek access to any information collected on this form, please visit our Privacy page or contact Council’s privacy officer on 9524 3333.

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Spring/Summer 2021–22 Parklet Program

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