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Aug 11 08 09:59a TREADSTONE LLC 5742349522 p.3 <br />Scrap Metal Dealer /Junk Dealer /Recycling Operation License Anplication <br />Page 2 <br />K. Are premises: x Leased by applicant <br />If !eased: Name of owner <br />Business addre <br />owned by applicant? <br />M iC I(> l O ri, <br />ss rd <br />i14 PERSONAL-DATA <br />A. Applicant's Legal Narne .._ "L. n n Q ncd te.Lo <br />B. Residential Address <br />D;_y, r State I n. Zip <br />C. Residential Telephone Number J— <br />D. SSN Ct - --n- ? (� �►_ E. Date of Birth q'i �- <br />IV- INCLUDE, WITH APPLICATION, A SITE PLAN OF THE FACILITY SHOWING <br />PROPERTY LINES, BUILDINGS, PARKING SPACES, LOADING DOCKS, FUEL <br />STORAGE, AND LANDSCAPING. <br />V. INCLUDE, WITH APPLICATION, A $5.00 PROCESSING FEE <br />VI. AFFIRMATION <br />1, 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 known to me. I have read <br />and understand the regulations of the Scrap Metal Dealer /Junk Dealer /Recycling <br />Operation/Transfer Station license found in the City of South Bend Municipal Code, Section <br />-6( (D i ,o g <br />'Date <br />