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XPe( , <br />,;!Tb7 <br />LICENSE APPLICATION FOR <br />SCRAP MFTAj nFA1 =Dej itmar r%,.. <br />CITY OF SOUTH BEND, INDIANN" <br />South Bond municipal Code Section 4-51 / <br />I. Check One: NEW -)( RENEWAL <br />BUSINESS DATA <br />A. Type of license applied for, <br />SCRAP METAL DEALER <br />RECYCLING OPERATION <br />J' <br />B. Business Name PA I �1 <br />1 R' <br />JUNK DEALER <br />< <br />C. Business Address <br />City state zip <br />D. Mailing Address (if different from above) <br />City -)rn �—n P"n <br />State e __( <br />E. Business Telephone Number Zip <br />F. Business Fax Ni <br />G. E-mail Address <br />Zoning Of proposed location <br />i. Lot size of premises <br />J. Type of fencing used <br />Please Continue to Page 2 (back of sheet) <br />Application -Filed - <br />W7 <br />Applidation.1 <br />0. e a <br />Sen P ftmon s... <br />Poi <br />Fire a: <br />A606t <br />L A. 0. <br />C ns <br />V. <br />ed <br />ea�04w $'q5`© - � <br />F <br />