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Fil ed in Cl e k's Office <br />NOV O 7 2022 <br />For all municipal business l icense questions, cont act : City of So uth Bend • Ord inance Vlo lati n Bureau <br />227 WestJefferson Blvd • Suit e 455 •South Bend , Indiana 46601 • 574.235 .6052 • F: 574 • .,J .... ,.........,... IN <br />cx~;Jc;+~:,,,------1t--' <br />Q.K 3 3 4-~ '$ aco.w <br />LIC ENSE APPLI CATION FOR -SCRAP METAL DEALERS/JUNK DEALERS/R ECYCLING <br />OPERATIONS <br />CITY OF SO UTH BENO , IN DIANA <br />MUN ICIPAL CODE SE CTION -4-51 <br />I. APPLICATION TYPE Check One : New ______ Renewal ______ _ <br />A. Scrap Meta l Dea ler__._;(...._. __ J1Jnk Dea ler __ ✓ __ Recycling Operat ion ~r~--- <br />II. BUS INESS DATA <br />A. Busines s Name: () S SC g ~ · <2.-c :,C fr N j <br />B. Business Address : //2, / 0 C ,; ~ Ave... <br />City : 50\.JTu fs~ State : --C ~ Zi p : 7" &,6,2.. ~ <br />C. Mai l ing Address (If different from above): 'T 7 .s? 'Sr. Rd Is S.~v~ <br />City : .AJA S~ v , ~ State: ~ Zi p: •--t' ;> y·y-· i7 <br />D. Business Telephone Number: .~>c./'-S r(o -g' VC ~ <br />E. Business Fax Number: _____________________ _ <br />F. E-Mail Address : /71 Mdre. J'.i?.1 $ ' cfe.rac:) . C-0..,..,,__ <br />G. Zoni ng of Propo se d Bu si ne ss Lo catio n:___ .Indu.~-l I A.l <br />H. Lot Size of Pr em ises : [ 0 C\ C L! S Q.R 4 .-35 , (d)O ~. -~± • <br />I. Type of Fe ncing Used : ___ ,,,,,.., __ r-_~ ........ ---------~------ <br />J. Is th e Property Owne d or Leased by the App lica nt : ___ O_w __ 1v_J _______ _ <br />1. Name of Owner if Property is Lease d :. _______________ _ <br />2. Business Address of Owne r=----------------c':FY~+.h' <br />Pl ease Con ti nue to Pag e 2 (back of sheet) <br />0 For Office Use Only <br />Ap plicatio n Fi led MAR 7 2022 l.lfire Dept. Ap p ro v al MAR 2 3 202 2 <br />Applicatio n Fee Paid MAR O 7 2022 ~i nq Dep t. Ap proval MAR U 8 2022 <br />Sent to Dept . MA R O 7 ... 2 .... 02 .... 2~-✓ .... V .... Code Enfo r cement _____ ~--.-~...,..,...,...,,...- <br />----~0 .... Police Dept . Cr ime Prev . Approva l NAR 1 l 2022 <br />Common Counci l Approval~~----- <br />license Num benS'etf :U>,,.'.?.~ -{)05 license Fee Paid ___________ _ <br />Not Approved ____ _ <br />Reason _____________________________ _ <br />1