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LICENSE APPLICATION FOR <br />0 <br />CITY OF SOUTH BEND, 1N1_b_jAN_A <br />;Bollth Bend Municipal Code *Section. 4-.61 <br />Filed in Clerk's 0.11ce. <br />Check One: NEW V' RENEWAL <br />JAN 3 12117 <br />BUSINESS DATA <br />KAREEIVM FOVYLEH <br />A. Type of license applied for- CITY CLERK, SOUTH BEND, IN <br />SCRAP METAL DEALER JUNK DEALER <br />REGYC�J?;IG OPERATION <br />B. :Business Name L `! 'Y <br />C. Business Address 3"� Q_ <br />City-_ C)uvrfl State zip <br />D. Mailing Address.(If different frorn above) <br />7.7 <br />City VVI State f/V Zip LA-1 <br />L. Business Telephone Number <br />_5 <br />F. Business Fax NLimber <br />G. !E-mail Address C-0q0 <br />H. Zoning of proposed location <br />1. Lot size of premises <br />J. Type Of fencing used <br />Phl a,SO Continue to Page 2 (back of sheet) <br />For Office Use Only <br />Application Filed <br />Application <br />Water Works <br />Application Fee Paid <br />Police Dept - Records <br />Sent to Departments <br />Police Dept. - Crime. Prev. <br />ire D, <br />Departrnent <br />Code <br />ComMon Council Approval <br />License Fee <br />Buildin.9 Dept, <br />Paid <br />License Number <br />Not Approved <br />Reason: <br />f <br />