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f2T <br />For all municipal business license questions, contact: City of South Bend • Department of Community Investment <br />227 West Jefferson Blvd • Suite 1400S -South Bend, Indiana 46601 • 574.235.5912 • F:574.235.9021 <br />RecAlo.1061.28 $6PD <br />LICENSE APPLICATION FOR — OPEN-AIR BUSINESS <br />MUNICIPAL CODE SECTION - 4-38 <br />I. APPLICATION TYPE Check One: New X Renewal <br />II. BUSINESS DATA <br />A. Business Name: MADIS MARKET <br />B. Business Mailing Address: 209 S. MICHIGAN ST. <br />City: SOUTH BEND State: IN <br />C. Mailing Address (if differs): SAME <br />City: <br />D. Business Telephone Number: 574-282-2006 <br />E. Business Fax Number: <br />F. E-Mail Address: PRYOR65@YAHOO.COM <br />State: <br />Zip: 46601 <br />Zip: <br />Proposed location of Open -Air Business: SW CORNER OF JEFFERSON & MICHIGAN ST. <br />Proposed location is (check <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 location: CBD - CENTRAL BUSINESS DISTRICT <br />I. Number of off-street parking spaces available to public and/or employees: <br />J. Description of Open -Air facility: HOT DOG CART E. IC6 Cr?AmCPnR.T <br />K. Will the Open -Air facility have a tent: Yes No X <br />L. Proposed dates of operation: APRIL - OCTOBER <br />M. Proposed hours of operation: 11AM - 9PM <br />an CID <br />For Office Use Only <br />MAR 0 6 2017 <br />Application Filed Building Department Approval <br />Application Fee Paid MARPublic Works If public property Vi0 <br />Sent to Dept. MAR 0 6 2017 License Fee Paid o u 1k 'W70 <br />Code Enforcement Approval License Number. 11— 800Q1 <br />Not Approved <br />Reason <br />1 <br />