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Jan-O7-2000 15:32 Frum-LKG CDRP. <br />j'. <br />+13116211969 T-687 P.003/009 F-3(4 <br />Scrap Metal Dealer/Junk Deal®r/Rsaycling Operation Ltcense App-Icafion <br />• Page 2 <br />IC. Ars premises: ~~ Leasotl by applicant ~_ owned by applleent7 <br />Itlaesad: Namaol'oWrtar~pu-L(y ~E,,`~ ~LC <br />• BUslne9e addrese~afd (~ i~}'J'~'" /~<r,o <br />• c76Z.L_a.n~d PA2lk •~r-[,- ~G-2 <br />III, PERSONAL DATA ' - ' <br />A. AppllcanCs Lagal Name (.~.) t4~~. n I ~~ / ~[ ([ .n-~ T ~~ '4na~T1t C, <br />8. ResidenttalAddfess _ lid ~, J A-cSA.(J•~ 5-(- <br />• City ~,l,t•.P_a-c~_.:CL` ;, Stara .~Z zip -•n n[~~,y <br />C. ~ R Idantlal7~lephona Numbar i - y t -") ~1 <br />D' F~'___3_(a - ~ 2'1$1-I ~ ~ B. ~. ..Z /!4 ~ 4~ ._. <br />IV. aNCLUDl=, WITH APPLICATION, q SITS PLAN OF THE FACILITY SyOWiNG• <br />PROPERTY LINES, J3UILDINGS, PARKING SPACES, LOAbINa DOCKS, FUEL <br />STORAGE, AN4 LANDSCAPING. <br />V. INCLUDE, WITH APPLICATION, A .$6.OD PROCESSING FEE <br />VI. AFFIRMATION • <br />I, hereby, certlffy and affirm that all of the information I have given in this application is true and <br />accurate fo the best of my knowledge. I furtharct3rtify and aftirtn that I have in no way <br />attempted #p mislead the Clty In this application by omifttng facts known to me, I have read <br />and understand the regulations of the Scrap Mehl Dealer/Junk Deafer/Recyeitng <br />' Operatian/Transfar Station license {nand M the city oFSouth Bend Munfctpal Code, Section <br />4-61. <br />~~~./~ 117105 <br />s~gnat~y date <br />. . <br />~. <br />!~ <br />I <br />LICENSEAPPLICATfON FOR <br />SCRAP METAL DEALERS/JUNK DEALERS/RECYCLING OPERATIONS <br />CITY OF SOUTH BEND, INDIANA <br />South Bend Municipal Cade Section 4-61 <br />I. Check One: _ NEW ~ ENEWAL <br />II. BUSINESS DATA <br />A. Type of license applied for: <br /> SCRAP METAL DEALER JUNK DEALER <br /> / <br /> RECYCLING OPERATION <br />> <br />B. 8uslnesa Name _ L kQ Co ~, (~ . <br />C. . <br />lCa CD'1. 5 , ~ <br />Buslnese Address A-~ri}~aP-t`" - g L V <br /> 11 <br />< <br />City ~v-I-d ~P-/~.[L- State T~il Ztp ~ (.~a 1_~ <br />D. Mailing Address (If different frenl above) <br /> City State Zip <br />E Business Telephone Number S' 7~/ - 1~ $ 3 ^ ,2-~~-~- <br />F. BuslnessFexNumber S"911- .2 3~- <104q <br />G. E-mellAddress ~~~ n~ //C9r -o2p . L'Da~ <br />H. Zoning of proposed focetlen <br />I. Lot size of premises I Z p•r6-F <br />J. Typa of Fencing used ,~ ~ ~ `rte ~-~1 ~. k. bJ ~ S (A-'E-s <br />Please Continue to Page 2 (back of sheet) <br /> For Office 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 Ltcense Number' <br />Building Dept <br />_ Not Approved <br />Reason: <br />