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 />LICENSE APPLICATION FOR – AUTOMOTIVE REPAIR AND SERVICE CENTER <br />MUNICIPAL CODE SECTION – 4-20 <br />III. APPLICANT’S 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. E-Mail Address: <br />F. Position with Business: <br />IV. OWNERS PERSONAL DATA <br />A. Owners Legal Name: <br />B. Residential Address: <br />City: State: Zip: <br />C. Residential Telephone Number: <br />D. Cellphone Number: <br />E. E-Mail Address: <br />F. Position with Business: <br />V. GENERAL QUESTIONS: <br />A. Do you serve as a VEHICLE REMOVAL SERVICE for private lots pursuant to §. 4-20.5? <br />Yes: No: <br />B. Will BODY WORK be done at this location? <br />Yes: No: <br />C. Will PAINTING be done at this location? <br />Yes: No: <br />D. Will vehicles remain outdoors for more than seventy-two (72) consecutive hours in any <br />one week? <br />Yes: No: <br /> <br />VI. INCLUDE $5.00 PROCESSING FEE WITHAPPLICATION <br /> <br />VII. 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 that I have in no way attempted to <br />mislead the City in this application by omitting facts known to me. I have read and understand <br />the regulations of the Automotive Repair and Service Center license found in the City of South <br />Bend Municipal Code, Section 4-20. <br /> <br /> <br />Signature Date