My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
04-13-09 Common Council Meeting Agenda & Packet
sbend
>
Public
>
Common Council
>
Common Council Agenda Packets
>
2009
>
04-13-09 Common Council Meeting Agenda & Packet
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
4/9/2009 1:47:02 PM
Creation date
4/9/2009 1:46:59 PM
Metadata
Fields
Template:
City Council - City Clerk
City Council - Document Type
Agendas
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
118
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
Show annotations
View images
View plain text
Scrap Metal Dealer/Junk Dealer/Recycling Operation License Application <br />Page 2 <br />K. Are premises: Leased by applicant ~_ owned by applicant? <br />if leased: Name of owner <br />Business address <br />III. PERSONAL DATA ~ ~ ~ . <br />A. Applicant's Legal Name <br />B. Residential Address ~0 <br />City ~~/d IC'~~ ~ State ~- Zip ~(~il~ ~ ~i' <br />C. Residential Telephone Number ~5 1 `'l~ r ~~rJ~~ <br />D. SSN _ _ E. Date of Birth ~2. ~7T~~~ <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 />I, 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 Ciry of South Bend iviunicipai~Code, Section <br />4-51. <br />2- ~ -O9 <br />Date <br />
The URL can be used to link to this page
Your browser does not support the video tag.