My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
05-26-09 Common Council Meeting Agenda & Packet
sbend
>
Public
>
Common Council
>
Common Council Agenda Packets
>
2009
>
05-26-09 Common Council Meeting Agenda & Packet
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/21/2009 4:06:32 PM
Creation date
5/21/2009 4:06:25 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.
/
153
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 ~~ Y`n'n~ ~jCZV~'C~ ~Gr`pOY'a~\\~ U~ <br />B. Residential Address '-7 5 `~ 5 ~ , J e.~~ erSO r~ ~~ y 4 ' <br />City ~--0 ~' V~ awl Y~~.. State 1 ~ Zip `4 ~ ~ ~ `~ <br />C. Residential Telephone Number ~~ o " t-+ ~ 9 - `~ 3 `~ `l <br />p, may- E. Date of Birth ~ ~ ~ <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 />1, 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 City of South Bend Municipal Code, Section <br />4-51. <br />~-fl-~~ <br />Signature Date <br />SCE ~IZES1 pEts- <br />
The URL can be used to link to this page
Your browser does not support the video tag.