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I <br />F-91 <br />for all municipal business license questions, contact: City of South Bend a Department of Community Investment OAIZ❑ <br />227 West Jefferson Blvd • Suite 140DS -South Bend, Indiana 46601 • 574.23S. 0 12 • F 574.235.9 21 <br />6/1 <br />LICENSE APPLICATION FOR — TRANSIENT MERCHANT <br />MUNICIPAL CODE SECTION - 4-60 <br />I. APPLICATION TYPE Check One: <br />BUSINESS DATA <br />New Renewal <br />A. Name of Event: PRIME HOUSE DIRECT TRUCKLOAD MEAT SALE <br />Business Name: COUNTRY FRESH FARMS <br />C. Business Address:5081 UNION ST <br />Ic <br />City:UNION CITY State_GA Zip 30291 <br />Mailing Address (if differs): 10 CELEBRATION WAY <br />City:PEACHTREE CITY 5tate:GA Zip. 30269 <br />E. Business Telephone Number: 912 282 3100 <br />F. Business Fax Number: NIA <br />G. E-Mail Address: FORD@THEPRIMEHOUSEDIRECT.COM <br />R. Indiana State Retailer License number: 0164546561 <br />1. Proposed location where business will be conducted. 4640 S. St Joseph St, South Bend <br />1. Description of building or prernises to be used: MENARDS <br />PARKING LOT <br />K. Proposed Dates of Operation: <br />L. Proposed Hours of Operation: $AM-7PM <br />M. Types of goods to be sold: USDA FROZEN MEAT SALE <br />N. Scales will be used in business transactions: Yes Nox <br />If yes, please attach certificate from the Sealer of Weights and Measures. <br />0. Food will be served in ready -to -eat condition: Yes No x <br />P. Description of nature of proposed advertising: SOCIAL MEDIA <br />For Office Use Only <br />Application Filed AUG 0 6 2025 _Public Works Approval <br />Application Fee Paid_AUG0 6 2025 License Fee Paid AUG 0 G 2095 <br />Sent to Dept. AUG fl 6 2095 License Number'T 60 r <br />Not Approved <br />Reason <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />tjl�(4 <br />Elizabeth A. Maradik, President <br />�� Gfs�liit� <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />1/1Z ff t <br />Joseph R. Molnar, Vice President <br />Breana Micou, Member <br />h f 41d1&- <br />Attest: Hillary R. Horvath, Clerk <br />Date: August 26, 2025 <br />