Laserfiche WebLink
For all municipal business license questions, contact: City of South Bend • Department of Community Investment <br />227 West Jefferson Blvd • Suite 1400 S •South Bend, Indiana 46601 • 574.235.5912 • F: 574.235.9021 <br /> <br /> <br /> <br /> <br />LICENSE APPLICATION FOR - ALARM AGENT <br />MUNICIPAL CODE SECTION - 4-18.7 (SEE ALSO 12.1) <br /> <br /> <br />I. APPLICATION TYPE Check One: New Renewal <br /> <br />II. BUSINESS DATA <br /> A. Business Name: <br /> B. Business Address: <br /> City: State: Zip: <br /> C. Mailing Address (If different from above): <br /> City: State: Zip: <br /> D. Business Telephone Number: <br /> E. Business Fax Number: <br /> F. E-Mail Address: <br /> G. Number of Clients: <br /> H. All-hours Telephone Number: <br /> <br />III. PERSONAL DATA <br /> A. Applicant's Legal Name: <br /> B. Residential Address: <br /> City: State: Zip: <br /> C. Residential Telephone Number: <br /> D. Cellphone Number: <br /> E. Social Security Number: F. Date of birth: <br /> F. Position with the Organization <br /> <br /> <br /> <br />For Office Use Only <br /> <br />Application Filed Police Dept. Approval <br />Application Fee Paid ($5) Fire Dept. Approval <br />Sent to Dept. License Fee Paid ($75) <br /> License Number <br /> <br />Not Approved <br />Reason <br /> <br /> <br />