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For all municipal business license questions, contact: City of South Bend • Department of Community Investment <br />227 West Jefferson Blvd a Suite 1400 S -South Send, Indiana 46601 • 574.235.5912 • f: 574.23S.9021 <br />cy, 3)b <br />LICENSE APPLICATiQN FOR — TRANSIENT MERCHANT <br />MUNICIPAL CODE SECTION - 4-60 <br />I. APPLICATION TYPE Check One <br />New Renewal x <br />II. BUSINESS DATA <br />A. Name of Event: St. Joseph County 4H Fair <br />B. Business Name: St. Joseph County 4-H Fair, Inc. <br />C. Business Address: 5117 S. Ironwood <br />City: South Bend State: IN <br />D. Mailing Address (if differs): <br />Zip: 46614 <br />City: State: Zip: <br />E. Business Telephone Number: 574-291-4870 <br />F. Business Fax Number: NIA <br />& E-Mail Address: managers@4hfair.com <br />H. Indiana State Retailer License number: 00431352$4000 <br />I. Proposed location where business will be conducted: Total grounds <br />1. Description of building or premises to be used: <br />K. Proposed Dates of Operation: June 27-July 5, 2025 <br />L. Proposed Hours of operation: 7arrr11pm <br />M. Types of goods to be sold: -Fair food, crafts, Carnival rides <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 x No <br />P. Description of nature of proposed advertising: Radio, Intemet,TV, Newspaper <br />For Office Use Only <br />Application Filed APR 3 a 2025 Public Works Approval <br />Application Fee PaidAPR 3 TM License Fee Paid __ 0 2025_ <br />Sent to Dept. !_ APR 3 4 2975 License Number MAOA5- CO-3 <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />Not Approved �� 2 <br />Reason <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />Joseph R. Molnar, Vice President <br />Breana Micou, Member <br />6;, <br />Attest: Theresa M. Heffner, Clerk <br />Date: June 10, 2025 <br />