2. Temporary Food Establishment Site Modification Request
   Thank you for using this form to submit your proposed changes. After you submit, a member of P&Z staff will contact you with comments and questions, or approval. Approval of these or any other changes under the Phase I Executive Order should be considered temporary, and may be rescinded at any time at the Town’s discretion, based on local, County, State or Federal guidelines and executive orders. To contact the Planning & Zoning Department, call (561) 741-2323.
4. Responsible Party Contact Information
   Please list the name, email and phone number for the point of contact for this submission. Please be sure this person is available to answer questions and receive feedback.
6. First Name*
7. Last Name*
9. Title/Business Responsibility*
11. Email*
12. Phone*
14. Business/Establishment Information
    Please list the business and/or establishment name and physical address.
16. Establishment Name/Business Name*
18. Physical Street Address*
20. Town of Jupiter Business Registration*
    Please list the Town of Jupiter BTR number for the establishment.
22. Description of Proposed Changes
24. Changes to outdoor seating configuration*
    Please describe how you will be changing the configuration of your outdoor seating to accommodate the Phase I executive order parameters. Please upload a drawing or a picture of a drawing to show the existing vs. the proposed configuration. Hand drawings are acceptable, as long as they are legible. If you will not be making changes, state "no change".
26. Upload drawing of proposed outdoor seating configuration*
    Formal site plan drawings not required. Hand drawings are acceptable as long as they are legible. Scans or photos of hand drawings are acceptable.
27. Do you currently have outdoor seating?*

    1. Yes
    2. No
29. Changes to parking flow or configuration*
    Please describe how you will be changing the configuration of your parking to accommodate the Phase I executive order parameters. Please upload a drawing or a picture of a drawing to show the existing vs. the proposed configuration. Hand drawings are acceptable, as long as they are legible. If you will not be making changes, state "no change".
31. Upload drawing of proposed parking configuration*
    Formal site plan drawings not required. Hand drawings are acceptable as long as they are legible. Scans or photos of hand drawings are acceptable.
33. Changes to signage *
    Please describe any signage you will be implementing to accommodate the Phase I executive order parameters. Please upload a drawing or a picture of a drawing to show the existing vs. the proposed configuration. Hand drawings are acceptable, as long as they are legible. If you will not be making changes, state "no change".
35. Check the box and enter your email below in order to receive a confirmation of this submission.
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37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field