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For all municipal business license questions, contact: City of South Bend • Department of Community Investment <br />227 West Jefferson Blvd • Suite 1400 S -South Bend, Indiana 46601 •574.235.5912 �:G574, 35�� I I Q4 r VP <br />LICENSE APPLICATION FOR — OPEN-AIR BUSINESS <br />MUNICIPAL CODE SECTION - 4-38 / <br />I. APPLICATION TYPE Check One: New t / Renewal _ <br />II. BUSINESS DATA /1 <br />A. Business Name: IeIA� J S ca� <br />B. Business Mailing Address: _5�j -1 ) -7 MI J _sje L A\LC <br />T <br />City: 2/rSa jaL(4 jAj,2kr. State: 10 Zip: y6' Q,5 <br />C. Mailing Address (if differs): <br />City: <br />D. Business Telephone Number: ll� - 2 %t`,- L Dq <br />E. Business Fax Nu <br />F. E-Mail Address: <br />Zip: <br />G. Proposed location ofOpen-Air Business: Cref41C( o(- IAladlkl 1611 <br />6Aj MG,A �LOA eT Cot -Ad �C'use-- <br />Proposed location is (check one): <br />On Private Property: (Include signed permission statement from property <br />owner or lessee, and site plan drawing or diagram showing proposed location and <br />drawing or diagram showing proposed facility). <br />On Public Property: X (Include site plan drawing or diagram showing <br />proposed location and drawing or diagram showing proposed facility). <br />H. Zoning of proposed <br />I. Number of off-street parking spaces available to public and/or employees: <br />J. Description of Open -Air facility: e r. 1cg5s o / C o { Ce CAC {- <br />K. Will the Open -Air facility have a tent: <br />L. Proposed dates of operation: A <br />No X <br />M. Proposed hours of operation: +] A M - T O M <br />R o_un00 <br />Application Filed FEB 2 8 2017 <br />Application Fee Paid FFR 2FFR 2 R Z017Z017 <br />Sent to Dept. I-tli2 S <br />Code Enforcement Approval <br />Not Approved <br />Reason <br />For Office Use Only <br />License Number I 7 00(0 <br />APP20`aD <br />Board of P"Idio Work-- <br />