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For an municipal business Hcense questions,contact: City of South Rena•Ordinance Viotaoon Bureau <br /> 227 West Jefferson Blvd•Sude 455•South Bend,Indiana 46601•574 235 6052•F.574.235.9173 <br /> LICENSE APPLICATION FOR -SCRAP METAL DEALERS/JUNK DEALERS/RECYCLING <br /> OPERATIONS <br /> CITY OF SOUTH BEND, INDIANA <br /> MUNICIPAL CODE SECTION -4-51 <br /> III.PERSONAL DATA <br /> A.Applicant's Legal Name: Ron Havemann <br /> B.Residenti <br /> City State: Zip: <br /> ilirill .P. <br /> C. Residential Teleph <br /> D.Cellphone Numbe <br /> E <br /> IV.INCLUDE,WITH APPLICATION,A SITE PLAN OF THE FACILITY SHOWING PROPERTY LINES,BUILDINGS, <br /> PARKING SPACES,LOADING DOCKS,FUEL STORAGE,AND LANDSCAPING. <br /> V.INCLUDE 55.00 PROCESSING FEE WITH APPLICATION <br /> VI.AFFIRMATION <br /> I,hereby,certify and affirm that all of the information I have given in this application is true and <br /> accurate to the best of my knowledge I further certify and affirm that I have in no way <br /> attempted to mislead the City in this application by omitting facts rnowr to me. I have read and <br /> understand the regulations of the Scrap Metal Dealer/Junk Dealer/Recycling Operation/Transfer <br /> Station license found in the City of South Bend Municipal Code,Section 4-51. <br /> Z J : 24. <br /> Signature Date <br /> 2 <br />