Laserfiche WebLink
For aII municipal business license que ttons,contact: City of South Bend•Ordinance Vio ation Bureau <br /> 227 West lef'erson 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 /> HI. PERSONAL DATA <br /> A.Applicant's Legal N • Ron Havemann <br /> 8.Residentia <br /> City: Scat <br /> Zip: <br /> C. Residential Telephone Number: 1-574-747-7855 <br /> D.Celephone Number, 1-574-747-7855 <br /> E.Social Security <br /> G.Date of Birth: <br /> I. Position with Business <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 /> ../Z) o.-F4/vg°2-5--- <br /> Signature <br /> Date <br /> 2 <br />