Port Jefferson, NY · Suffolk County
Temporary License Agreement
This agreement lets a business or organization request permission to use Port Jefferson public property for outdoor dining, retail, or another approved purpose.
What this form is
Businesses and organizations use this application and agreement to request use of Village sidewalks, roads, parking lots, or other public property. The Village requires a completed, signed application, an insurance certificate, and any required fee before municipal facilities may be used. It asks for the location, approved table count, and licensee name; the signer also agrees to follow property-use rules and indemnify the Village.
Who needs it
A business or organization seeking to use Village public property for outdoor dining, retail, or another approved activity needs this agreement.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This agreement is signed and dated without a notary; attach the required insurance certificate and insurance documents listed in the agreement.
How to submit this form
- 1
Download the Agreement
Download the Temporary License Agreement PDF.
- 2
Complete the Agreement
Provide the location, total approved table count, and licensee business name, then have an officer sign and date it.
- 3
Gather Insurance Documents
Include the required insurance certificate and the insurance documents specified in the agreement.
- 4
Submit to the City
Submit the signed application, insurance certificate, and any required fee to the city department named on the form.
Frequently asked questions
- What is the Temporary License Agreement for?
- It is an application and agreement for businesses or organizations requesting to use Village public property, including sidewalks, roads, and parking lots.
- What must accompany the application?
- The document says the Village requires a completed and signed application, a copy of the insurance certificate, and any fee required by the Municipality.
- Do I need a notary for the Temporary License Agreement?
- No. The agreement is signed and dated without a notary. Attach the required insurance certificate and the insurance documents listed in the agreement.
- How do I submit the Temporary License Agreement?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Temporary License Agreement doesn’t need a notary — but if you have another Port Jefferson form that does, a commissioned online notary can help.