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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 /> <br /> <br /> <br /> <br />LICENSE APPLICATION FOR – TRANSIENT MERCHANT <br />MUNICIPAL CODE SECTION - 4-60 <br /> <br />I. APPLICATION TYPE Check One: New Renewal <br /> <br />II. BUSINESS DATA <br />A. Name of Event: <br />B. Business Name: <br />C. Business Address: <br />City: State: Zip: <br />D. Mailing Address (if differs): <br />City: State: Zip: <br />E. Business Telephone Number: <br />F. Business Fax Number: <br />G. E-Mail Address: <br />H. Indiana State Retailer License number: <br />I. Proposed location where business will be conducted: <br />J. Description of building or premises to be used: <br /> <br />K. Proposed Dates of Operation: <br />L. Proposed Hours of Operation: <br />M. Types of goods to be sold: <br />N. Scales will be used in business transactions: Yes No <br />If yes, please attach certificate from the Sealer of Weights and Measures. <br />O. Food will be served in ready-to-eat condition: Yes No <br />P. Description of nature of proposed advertising: <br /> <br /> <br />For Office Use Only <br /> <br />Application Filed Public Works Approval <br />Application Fee Paid License Fee Paid <br />Sent to Dept. License Number <br /> <br /> <br />Not Approved <br />Reason