F
<br /> LICENSE APPLICATION FOR
<br /> 1VIETAL DEALERS/JUNK DEALERS/RECYCLING OPERATIONS
<br /> CITY OF SOUTH BEND, INDIANA
<br /> South Bend Municipal Code Section 4-51
<br /> Filed in Clerk's Office
<br /> I. Check One: NEW RENEWAL N 06 2017
<br /> Il. BUSINESS DATA I<ARE MAH FOWLER
<br /> A. Type of license applied for: CITY CLERK,SOUTH BEI�JD,IN i
<br /> SCRAP METAL DEALER JUNK DEALER
<br /> RECYCLING OPERATION
<br /> B. Business Name
<br /> C. Business Address S-700
<br /> city JCy.� 1Qn nll Staten zip
<br /> D. Mailing Address(If different from above) 1
<br /> i
<br /> City q� State Zip
<br /> E. Business Telephone Number -- 5-N �?� o f
<br /> 1
<br /> F. Business Fax Number _ _6-1 LA f o y
<br /> G, E-mail Address o t
<br /> H. Zoning of proposed location
<br /> t_ Lot size of premises C) S
<br /> J. Type of fencing used _ cwC(e�
<br /> Please Continue to Page 2 (back of sheet)
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