Application for Temporary Retail Pick-Up Zone
Please fill out this form to apply for a 10-Minute Retail Pick-Up Zone parking sign(s) in front of your business.

Only retail stores are eligible for the program and may apply. Restaurants are not eligible through this program, but may apply at the following link: http://ladot.lacity.org/businesses/permits#apply-for-food-pickup-signs.

All businesses must be within the City of Los Angeles.

We will notify you once your application has been approved.
Email *
Business Name *
Business Address *
Address Number & Street Name only.
Zip Code *
Business Phone Number *
Please use this format ###-###-####. This number MAY be released to the public.
Website/URL
(Optional)
Type of Business *
Number of Signs Requested *
Currently restricted to one (1) due to high demand.
I am requesting a 10-minute Retail Pick-Up Zone due to: *
Check all that apply
Required
Can we easily mount the sign(s) in front of the business? *
Is there a sign post, parking meter post, street light post, tree, etc nearby?
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This form was created inside of City of Los Angeles.