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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 - F: 574.235.9021 <br />Rcn e- <br />LICENSE APPLICATION FOR - OPEN-AIR BUSINESS <br />MUNICIPAL CODE SECTION - 4,-38 <br />1. APPLICATION TYPE Check One: New X, Renewal <br />11. BUSINESS DATA <br />A. Business Name:. <br />B. Business Mailing Address: IT-N (_,"d-cn pr,'oe­ <br />City: ::5rp (n State: Zip:( <br />C. Mailing Address (if differs): <br />City: State: Zip: <br />D. Business Telephone Number: -7 <br />F. B,lusiness Fax Number- <br />F. E-Mail Address: - ----- c-of7L, <br />G. Proposed location of open -Air Business:Nor-H) a- 9%zlirs pn <br />4 v —+S. a L, 17-771ETi <br />Proposed location is (check one): U <br />On Private Property: _ (Include signed permission statement from property <br />owner or lessee, and site plan drawing or diagram showing proposed locationand <br />drawing or diagram showing proposed facility). <br />On Public Property: Z (include site plan drawing or diagram showing <br />proposed location and drawing or diagram showing proposed facility). <br />H. Zoning of proposed location: <br />I. Number of off-street parking spaces available to public and/or employees: <br />J. Description of Open -Air facility: lkl- rlt�3 _C'*( 1?611 <br />I<. Will the Open -Air facility have a tent: Yes No <br />L. Proposed dates of operation: N QV rQ01? 9 C4'_X"k <br />M. Proposed hours of operation: I <br />Ll P d <br />For Office Use Only <br />Application Filed JAN ,10 Building Department Approval <br />Application Fee Paid JAN 3 0 2018 Public Works (if public property) <br />Sent to Dept. JAN 0 2018 License Fee Paid <br />Code Enforcement Approval License Number. A. Of <br />Not Approved FE <br />L8 <br />Reason <br />