HomeMy WebLinkAboutBicycle Rack FormCITY OF PALM DESERT
DEPARTMENT OF ECONOMIC DEVELOPMENT
73510 Fred Waring Drive, Palm Desert, California 92260
Phone (760) 346-0611 ▪ bizsupport@cityofpalmdesert.org
UNITE PALM DESERT BICYCLE RACK INCENTIVE PROGRAM (BRIP)
APPLICATION
Business/Property Owner Name:
Business/Property Owner Address:
Applicant/Representative Name:
Mailing Address:
City: State: Zip:
Phone: Email:
Bicycle Rack Location:
Requested bicycle rack location including a drawing/image of location with an aerial view. Location must have
concrete/asphalt to which the rack can be secured – no dirt.
1.The bicycle rack shall be purchased and installed by the City of Palm Desert at the location indicated above and
maintained at the sole expense of the business/property owner.
2.Requested bicycle rack (circle preference below)
Rolling Rack Grid Style Round Rack
Desired color for Rolling and Round Racks: ___Yellow ___Red ___Orange
Desired Color for Grid Style Rack: ___Yellow ___Red
Submission: Unite Palm Desert Bicycle Rack incentive Program Application must be submitted by email to
bizsupport@cityopalmdesert.org or via mail at City of Palm Desert, 73-510 Fred Waring Drive, Palm Desert, California
92260, Attn: Economic Development Department.
Applicant/Representative Signature: By signing this application, I certify that the information provided is accurate. I
understand that the City might not approve what I am applying for and/or might require conditions of approval.
Print Name: Signature: Date:
Property Owner Signature of Approval (if property owner is not the applicant)
Print Name: Signature: Date:
For Staff Use: Date Received ___________________ Approved: ___Y ___N