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kcot� o(� -G� ccge-� Gn'4 <br />For all municipal business license questions, contact: City of South Bend - Department of Commixity Investments�� <br />• 'CA <br />227 West Jefferson Blvd - Suite 1400 S -South Bend, Indiana 46601 - 574.235.5912 574.235,9021 CA <br />Qc 5(PgVA3 g5.00 <br />LICENSE APPLICATION FOR — OPEN-AIR BUSINESS <br />MUNICIPAL CODE SECTION - 4-38 <br />I. APPLICATION TYPE Check One: NewX Renewal <br />II. BUSINESS DATA <br />A. Business Name: Pour Sumor <br />B. Business Mailing Address: 16935 Edinburg LN. <br />City: South Bend —State: IN Zip: 46635 <br />C. Mailing Address (if differs): <br />City: State: Zip: <br />D. Business Telephone Number: 5747075140 <br />E. Business Fax Number: <br />F. E-Mail Address: info@poursumor.coom <br />G. Proposed location of Open -Air Business: f I -the_ S1C!kP.V,'bAy— f-,W Tel clk - I- <br />`iP�, <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:X (include site plan drawing or diagram showing <br />proposed location and drawing or diagram showing proposed facility). <br />H. Zoning of proposed location: Down town south bend <br />I. Number of off-street parking spaces available to public and/or employees: 30 <br />J. Description of Open -Air facility: CB 2-. ccu-A <br />K. Will the Open -Air facility have a tent: Yes Nox <br />L. Proposed dates of operation: Feb 2024-January 202457 <br />M. Proposed hours of operation: 9-10 <br />r-'td n 0,a--n 606LC'�- <br />For Office Use Only <br />Application Filed MAR 7 2024 Building Department Approval <br />Application Fee Paid IV U 7 IM Public Works (if public property) <br />Sent to Dept. License Fee Paid <br />Code Enforcement Approval_ License NumberAL{ -O ? <br />Not Approved <br />Reason <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />ta�a <br />Elizabeth A. Maradik, President <br />--moo Qs.Ielet <br />Gary A. Gilot, Member <br />""Z ��t <br />Joseph R. Molnar, Vice President <br />Briana Micou, Member <br />lilac). 00 <br />Murray L. Miller, Member <br />Attest: Theresa M. Heffner, Clerk <br />Date: April 23, 2024 <br />