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For all municipal business I Icense questions, contact: City of South Bend -Department of community Investment <br />227 West Jefferson Blvd - Suite 14005 -South Bend, Indiana 46601 - 574.235.5912 - F: 574135.9021 <br />-Rc c I* - � -/ Waq D '14 <br />LICENSE APPLICATION FOR - OPEN-AIR BUSINESS <br />MUNICIPAL CODE SECTION - 4-38 <br />I. APPLICATION TYPE Check One: New <br />11, BUSINESS DATA <br />A. Business Name: <br />B. Business Mailing Address:, , J,, <br />City- 7--v Id, State: <br />C. Mailing Address (if differs): <br />Renewal <br />33 <br />City: — State: Zip: <br />D. Business Telephone Number: `1,-7q 213a,_ q(,z <br />E. Business Fax Number: <br />F. E-Mail Address: <br />G. Proposed location of Opens -Air Business: <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: N (Include site plan drawing or diagram showing <br />proposed location and drawing or diagram showing proposed facility). <br />H. Zoning of proposed location: C-Q> 6 <br />I. Number of off-street parking spaces available to public and/or employees: <br />J. Description of Open -Air facility:. creo_�11 <br />K. Will the Open -Air facility have a tent: Yes No <br />L. Proposed dates of operation: fY)a.ci-j� �N.Lve-r-el M. Proposed hours of operation: <br />Iqrr <br />I -A eae,_' <br />For Office Use only <br />Application Filed JAN 112018 Building Department Approval <br />Application Fee Paid — i Public Works (if public propert <br />Sent to Dept. JAN 112018 License Fee Paid JAN I i <br />Code Enforcement Approval License Number /0-60�� <br />Not Approved <br />Reason <br />0 <br />