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i <br />i <br />LICENSE APPLICATION FOR l"iii LRATIO re t/z � <br />SCRAP M . L DEA�,ERSI�UNK DEALERSI�Y'CLINNS <br />CITY OF SOUI H BEND, INDIANA "' <br />South Bend Municipal C od ection A F110d <br />Check One: NEW RENEWAL LAN <br />BUSINESS DATA wit., aar <br />A. Type of license applied for. <br />SCRAP METAL DEALER JUNK DEALER <br />.� RecycLiNG OPERATION <br />B. Business Name i f inn <br />C. Business Address j' <br />city State zip <br />D. Mailing Address (if different from above) <br />City <br />. State Zip <br />E. Business Telephone Number d�ro <br />F. Business Fax Number w ( 46 <br />G. E -mail Address <br />N. Zoning of proposed location _ — <br />a <br />1• Lot size of premises 44 r <br />J. Type of fencing used <br />Please Continue to Page 2 (back of sheet) <br />AO <br />.611 <br />forbMao <br />Ali <br />pal iw-gvv+ej� <br />tKIVs: <br />