Laserfiche WebLink
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 Na • <br /> B.Residential Address: <br /> City: State: Zip: <br /> C. Residential Telephone Number <br /> D.Cellphone Number: <br /> E.Social Security Number: F. Gender:- <br /> G. Date of Birth: H. Race:I. Position with Business r <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 the Scrap Metal Dealer/Junk Dealer/Recycling Operation/Transfer <br /> Station license found in the City of South Bend Municipal Code,Section 4-51. <br /> Signature Date <br /> 2 <br />