Mount Airy, NC · Surry County

No notary required

Outdoor Dining Area Permit Application

Businesses in Mount Airy’s municipal service district use this application to request a permit for an outdoor dining area.

What this form is

This application is for a new outdoor dining area permit, a renewal with no changes, or an amendment to an existing application. It asks for business and operator details, operating hours, seating capacity, and the food or beverages to be served. Applicants must include a scaled site plan, proof of insurance, and the signed release and indemnity statement.

Who needs it

A business seeking to operate an outdoor dining area in Mount Airy’s municipal service district should complete this application.

How to submit it

Email the application and required attachments to [email protected], or submit them to the Mount Airy Planning & Development Department at 300 S. Main St., Mount Airy, NC 27030. The application fee is $50; a separate fire review fee will also be assessed.

About notarization

This application is signed without a notary; the applicant signs and dates the release and indemnity statement and certifies the application.

How to submit this form

  1. 1

    Download The Application

    Download the Outdoor Dining Area Permit Application.

  2. 2

    Complete The Application

    Enter the business and operator information, application type, and outdoor dining area details; sign and date the certification and release.

  3. 3

    Gather Required Attachments

    Include the required scaled site plan and proof of insurance, along with the signed release and indemnity statement.

  4. 4

    Submit To The City

    Email the completed application and attachments to [email protected] or submit them to the Planning & Development Department.

Frequently asked questions

Who can apply for an outdoor dining area permit?
The application is for businesses in Mount Airy’s municipal service district seeking a new permit, a renewal with no changes, or an amendment.
What attachments are required?
Submit a scaled site plan, evidence of insurance with at least $1,000,000 in liability coverage, and the release and indemnity statement included with the application.
Do I need a notary for the Outdoor Dining Area Permit Application?
No. The application and release and indemnity statement have signature fields but no notary block; the applicant signs and dates the statement.
How do I submit the Outdoor Dining Area Permit Application?
Email the application and required attachments to [email protected], or deliver them to the Mount Airy Planning & Development Department at 300 S. Main St., Mount Airy, NC 27030.

Need something notarized?

This Outdoor Dining Area Permit Application doesn’t need a notary — but if you have another Mount Airy form that does, a commissioned online notary can help.