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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 />2 <br /> <br /> <br /> <br />LICENSE APPLICATION FOR – FOOD VENDING VEHICLE <br />MUNICIPAL CODE SECTION - 4-25 <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 /> <br />IV. INCLUDE COPY OF CURRENT LIABILITY INSURANCE POLICY WITH APPLICATION <br /> <br />V. INCLUDE $5.00 PROCESSING FEE WITH APPLICATION <br /> <br />VI. AFFIRMATION <br /> <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 Food Vending Vehicle license found in the City of South Bend Municipal <br /> Code, Section 4-25. <br /> <br /> <br /> <br /> Signature Date