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Transient Merchant License Application Oct 2017
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Transient Merchant License Application Oct 2017
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4/16/2025 12:10:44 PM
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4/16/2025 12:10:42 PM
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Dept of Community Investment
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2 <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 />LICENSE APPLICATION FOR – TRANSIENT MERCHANT <br />MUNICIPAL CODE SECTION - 4-60 <br /> <br />II. BUSINESS DATA (Continued) <br />Q. Contact person to be responsible for customer complaints and available at least sixty (60) <br />days following last date of business: <br />Contact's Legal Name: <br />Residential Address: <br />City: State: Zip: <br />Telephone Number: <br /> <br />III. PERSONAL DATA (Applicant) <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. Position with business: <br />F. Social Security Number: <br />G. Gender: <br />H. Date of birth: <br />I. Race: <br /> <br />IV. PERSONAL DATA (Owner, if differs) <br />A. Owner's Legal Name: <br />B. Residential Address: <br />City: State: Zip: <br />C. Residential Telephone Number: <br />D. Cellphone Number: <br />E. Position with business: <br />F. Social Security Number: <br />G. Gender: <br />H. Date of birth: <br />I. Race:
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