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• <br /> 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 a <br /> i <br /> III.PERSONAL DATA a <br /> A.Applicant's Legal Na • LOU DOMINION <br /> , B.Residents <br /> , City: State Zi <br /> C.Residential Telephone Number: <br /> i D.Cell hone Number: 989-205-0003 i <br /> E. a <br /> G. 1 <br /> I. <br /> . I <br /> i <br /> s <br /> IV.INCLUDE,WITH APPLICATION,A SITE PLAN OF THE FACILITY SHOWING PROPERTY LINES,BUILDINGS, <br /> PARKING SPACES,LOADING DOCKS,FUEL STORAGE,AND LANDSCAPING. 1 <br /> I <br /> E V.INCLUDE$5.00 PROCESSING FEE WITH APPLICATION <br /> l i <br /> I VI.AFFIRMATION t <br /> I,hereby,certify and affirm that all of the information I have given in this application is true and r,' <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 Sou nd Municipal Code,Section 4-51. <br /> 1-8-2025 <br /> gnature Date <br /> 1 <br /> 1 <br /> a <br /> i ' <br /> P ; <br /> 1 <br /> I 2 <br />