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§? For as mun/dpal business license auesticos,contact:City of South Bend•Department of Community Investment <br /> 215 S.Dr.Martin Luther King Jr.Blvd.•Suite 500 C J <br /> South Bend,Indiana 46601.574.235.5912•F!574.235.9021 l• <br /> RQC_ i 7�'�5�3 <br /> � � <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 /> I.APPLICATION TYPE Check One: New Renewal V <br /> A.Scrap Metal Dealer / Junk Dealer Recycling Operation_____ __ <br /> II. BUSINESS DATA p 1 t <br /> A Business Name: LK ` :[_� Q yo,lr ` I M.d'� Wt,Sr ) L --t <br /> B. Business Address:e- t 0 A Lci.�c�i.��,k4c� B kv d UU <br /> Co: ` ex) t C' State: 1 ).4 Zip _—1 6CO 1 <br /> C.Mailing Address(If different from above): <br /> City: State: Zip <br /> D. Business Telephone Number: 51 - 3 3 a - 11,19 <br /> E.Business Fax Number: <br /> F.E-Mail Address: S Cl?t1.t1Gr' e, L pp,. CM <br /> G.Zoning of Proposed Business Location: I <br /> H.How long has the business been in continuous operation: <br /> I.Lot Size of Premises: '61 X '04 0 <br /> J. Type of Fencing Used: C N0,:k n `;r,lf. <br /> K. Is the Property Owned or Leased by the Applicant: Qt,vneak <br /> 1. Name of Owner if Property is Leased: <br /> 2.Business Address of Owner: <br /> L Is your business currently registered and i active status with the Indiana Secretary of State: <br /> Yes No <br /> Please Continue to Page 2(back of sheet) <br /> For Opice Use Only Fr,-; 717.6 <br /> Application Filed JAN J G /Q2 F re Dept.Approval <br /> Application Fee Paid JAN 71 MDt/ ilding Dept.Approval MAR 2�� <br /> Sent to Dept. 9107 F. 1 NV /Code Enforcement h93 Ii 4 !172I' <br /> 4olice Dept.Records Approval "FP iy ?075 Police Dept.Crime Prey.Approval FEB 2 6 707_fi <br /> Common Council Approval _Code nfo ement <br /> IDEM&EPA Verification ( SOS Urlhrrn'rj <br /> License Number ,s - ' 'J License Fee Paid JAN 7 9 1* <br /> 3EPD - TEm tt) Q1')j o.i '1 b .Cii0L -colp1),( f , <br />