Laserfiche WebLink
Jan-O2-2999 )5:32 FronrU(a CORP. +1312621106A T-667 P.007/009 F-0// <br />5clap Metal De®ledlunk Deafer/Recycling Operation License Applicatlan ~ • <br />Page 2 • <br />IC. Ara premises: ~ Leasod by applloant /~ owned by eppllcent7 <br />If leased: Name a1'owner .S DF Snt r-(~ L7E+,~,( C..I_ (' <br />• Buslneaa eddrese l1(a-Cd i71 ~ 7 ~' A..rP . <br />III, PERSONAL DATA t ' • ' <br />A. AppllcanCs Legal Nama (~l t4 ~ 1-tr. 1~ I<Q ' <br />T m-~ T_,u,~,a,ta r r . <br />B. Residential Address /~.~ I x.G) ~, rt.A-c~A•.(!+~ fj-t- StY ~t1/~ ' <br />• CHy (~I,L[t~ C3 .~.=L~ a Stara ~1. zlP ~ul3C_~[~2- <br />C• R ldenflai Tblephone Numbat (31~~- Gs.21 -`I~`tS7Sl <br />~FE;=~ Doi <br />D. ~era._,~,.t¢ ~ ~t z'1 R r-I ~t ~ ~. t~m~ ea,~, -.-..z lam`? ~t ._ <br />tV, aNCI,UDE, WITH APPL(GATfON, A SITE PL/~N OF THE F/kCILITY SHOWINQ• <br />PROPERTI' LINES, J3UILDINGS, PARKI(VG SPACES, LOADING DOCKS, FUEL <br />STORAGE, ANp LANDSCAPING. <br />V. INCLUDE, WITH APP!_IGATION, A.$6.Ot] pR~CES5ING FEE <br />VI. AFFIRMATION <br />I, hereby, certify and aifimt that aI- of the information I have gNen fn this eppllcation is true and <br />accurate fo the best of my knowledge. I ftlrthar•ce3rtlfy and affirm that I have In no way <br />attempted to mislead ttie Ctly In this app-loatian by omitting facts known to me, I have read i <br />' and understand the regulations cf rho Scrap Mehl DeslsdJunk peatar/Ret;yaltng <br />Opel~Jtlon(fransfer Station Itt~nse found M the City of South send Municipal Cade, Section <br />G-61. I <br />-=--~~ts.JdL~1L <br />Slgnatu :~..1-~.1Q~. <br />• ; <br />t <br />LICENSE APPLICATION FOR <br />SCRAP METAL DEALERS/JUNK DEALERS/RECYCLING OPERATIONS <br />CITY OF SOUTH BEND, INDIANA <br />South Bend Municipal Code Section 4-61 <br />I. Check One: _ NEW RENEWAL <br />II. BUSINESS DATA <br />A. Type of license agplled for. <br />', <br /> SCRAP METAL DEALER JUNK DEALER <br /> / <br />ERATION <br /> RECYCLING OP <br />B. Buslnese Name L IG.Q ~oe, ~„ <br />C. ~LCD~1. 5 l-. <br />Buslnese Address A~,~ t B IVd <br /> << <br />City Jo(J ~~ _ State Z'"ill Zip ~ C..la 1 <br />D. Melling Address (If different front above) <br /> city state zip <br />E Bus{neas Telephone Number ~ ~~{ -- 2 ~ 3 ^ v~-~-~'~ <br />F. Buslnese Fex Number ~7L(- .2 3.E - i/04q <br />G. E-mellAddress ~,,~,r~'+~ a~ ~kgt' ol~ CDC <br />H. Zoning of proposed Ioceiion <br />I. Lot size of premises f 1 ~-F <br />J. Type of Fencing used ~' ~ ~.: ~ /-rR ~ LJ ~ 5 /r4-'f 'S <br />Please Continue to Page 2 (back of sheet) <br /> For Ofiice Use Only • <br />Application Filed 1 - ~' - Water Works Approval <br />Application Fee Paid - Police Dept Approval <br />Sent to Dept Common Council Approval • <br />Fire Dept ~ .~ ~ <br />License Fee Patd <br />Code Enforcement License Number • <br />Building Dept <br />_ Not Approved <br />Reason: <br />