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For ail municipal business license questions, contact: City of South Bend ® Department of Community Investment <br />227 West Jefferson Blvd -Sufte 1400 S -South Bend, Indiana 46601 ® 574.235MU - F: 574.235,9021 <br />LICENSE APPLICATION FOR — OPEN-AIR BUSINESS <br />MUNICIPAL CODE SECTION - 4-38 <br />I. APPLICATION TYPE Check One: <br />11, BUSINESS DATA <br />A. Business Name: j4 <br />New <br />4 4 <br />Business Mailing Address: <br />City: <,r19 z)( State <br />C. Mailing Address (if differs): <br />City: <br />State: <br />Renewal <br />Zip: ov-'60 6 6 <br />so <br />D. Business Telephone Number: c 2­.zz - -iz' <br />F. Business Fax Number: 40 t 0� <br />F. E-Mail Address: C 4b, S­ lY, 0) <br />0C <br />G. Proposed location of Open -Air Business: f-4- C X- `_'o _� e iA-1 <br />-Ti) C-rp'ov of- /N/-",', <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: V —(Include site plan drawing or diagram showing <br />proposed location and drawing or diagram showing proposed facility). <br />H. Zoning of proposed location: , .. ­ c8h <br />I. Number of off-street parking spaces avidlable to public and/or,eTployees: <br />J. Description of Open -Apr facility: <br />K. Will the Open -Air facility have a tent: es No <br />L. Proposed dates of operation- pu <br />M. Proposed hours of operation: �12tee <br />For Office Use Only <br />Application Filed FEB 0 1. 2018 XBuilding Department Approval_ <br />Application Fee Paid Lg' q =8 Public Works (if public property) <br />Sent to Dept. Fro U /-Uld License Fee Paid <br />Enforcement Approval License Number <br />Not Approved <br />Reason <br />M <br />N� <br />