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1 <br />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 />LICENSE APPLICATION FOR – HOTELS AND MOTELS <br />MUNICIPAL CODE SECTION - 4-30 <br />I.APPLICATION TYPE Check One:New Renewal <br />II.BUSINESS DATA <br />A.Business Name: <br />B. Business Address: <br />City: State: Zip: <br />C.Mailing Address (if differs): <br />City: State: Zip: <br />D.Business Telephone Number: <br />E.Business Fax Number: <br />F.E-Mail Address: <br />G.Number of rooms available for rent: <br />H.Does the hotel serve food: Yes No <br />I.Does the hotel have a pool or spa: Yes No <br />J.Does the hotel have pool tables: Yes No <br />If yes, how many pool tables do you have? <br />K.Zoning of business location: <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 />For Office Use Only <br />Application Filed Building Department Approval <br />Application Fee Paid Fire Department Approval <br />Sent to Dept. License Fee Paid <br />License Number <br />Not Approved <br />Reason <br />CONTINUE TO PAGE 2