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For all municipal business license questions,contact: City of South Bend•Ordinance Violation Bureau <br /> 227 West Jefferson Blvd•Suite 455*South Bend,Indiana 46601•574.235.6052•F:574.235.9173 <br /> LICENSE APPLICATION FOR -SCRAP METAL DEALERS/JUNK DEALERS/RECYCLING <br /> OPERATIONS <br /> CITY OF SOUTH BEND, INDIANA <br /> MUNICIPAL CODE SECTION - 4-51 <br /> III. PERSONAL DATA <br /> A.Applicant's Legal Name: LOU DOMINION <br /> B.Residentia <br /> City: <br /> C. Residential Telephone Number: <br /> IV. INCLUDE, WITH APPLICATION, A SITE PLAN OF THE FACILITY SHOWING PROPERTY LINES, BUILDINGS <br /> PARKING SPACES,LOADING DOCKS, FUEL STORAGE,AND LANDSCAPING. <br /> V.INCLUDE$5.00 PROCESSING FEE WITH APPLICATION <br /> VI.AFFIRMATION <br /> I, hereby,certify and affirm that all of the information I have given in this application is true and <br /> accurate to the best of my knowledge. I further certify and affirm that I have in no way <br /> attempted to mislead the City in this application by omitting facts known to me. I have read and <br /> understand the regulations of tiverytr tal Dealer/Junk Dealer/Recycling Operation/Transfer <br /> Station license found i e CiyK h Bend Municipal Code,Section 4-51. <br /> 1-10-2024 <br /> nature Date <br /> 2 <br /> iiLr+.+rYr•a++.rwrs+..,..,=a.. +..w.._.�.._.�..,.�.a w..�_ _.�.,00. i.._..z�.,�._.......�s.�.=........... -*.t a........,......,.,�,.* .,.....�..,.....,,.,...�, <br />