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For all municipal business license questions, contact: City of South Bend -Department of Community Investment C ASq <br />227 West Jefferson Blvd - Suite 1400 5 -South Bend, Indiana 46601 - 574.235,5912 - F: 574.235.9021 <br />R'ec. <br />LICENSE APPLICATION FOR - OPEN-AIR BUSINESS <br />MUNICIPAL CODE SECTION - 4-38 <br />I. APPLICATION TYPE Check One: New t"__ Renewal <br />II. BUSINESS DATA <br />A. Business Name:7� <br />B. Business Mailing Address: <br />City: S;�/ A_ <br />C. Mailing Address (if differs): (,�' <br />City: 5; G / A ZS22&Z- <br />D. Business Telephone Number: <br />E. Business Fax Number: <br />F. E-Mail Address: <br />G. Proposed location of OWn-Air Business: <br />MWAW.� <br />Proposed location is (check one): <br />State: Zip: <br />_State:Zip: <br />``yj ) ;7 41 4e <br />G/90k_ <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: 1-� (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 avai able to public and/or employees: <br />J. Description of Open -Air facility: 7 <br />,14 <br />K. Will the Open -Air facility have a tent: Yes No <br />L. Proposed dates of operation:'" <br />M. Proposed hours of operation: <br />For Office Use Only <br />Application Filed APR. 2 2 2024 Zoning Department Approval <br />Application Fee Paid APR ZQ24 Public Works (if public property) <br />Sent to Dept. APP G � 2D24 License Fee Paid <br />Code Enforcement Approval_ License Number O I✓' —r.0rj <br />Not Approved _ CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />Reason <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />Joseph R. Molnar, Vice President <br />Breana N. Micro, Member <br />Murray L. Miller, Member <br />Attest: Laura D. Hensley, Acting Clerk <br />Date: May 28, 2024 <br />