HomeMy WebLinkAboutOpen Air Business - Quincy's CafeINTER -OFFICE MEMORANDUM
BOARD OF PUBLIC WORKS
��I' DATE SENT: 3/2/2017
TO: rbi Division of Engineering
harles Bulot, Building Department
J/�yoka Paek, Building Department
Chris Dressel, Community Investment
Randy Wilkerson, Code Enforcement
Legal Department
FROM: Linda M. Martin, Clerk,—
SUBJECT: OPEN AIR BUSINESS` RENEWAL
RECOMMENDATION
APPLICANT: Quincy's Cafe
LOCATION: Corner of Washington & Main St
January 1, 2017 to January 31, 2018/ 7:00 a.m. to 5:00
DATE(S)/TIME(S): p.m.
DATE DUE: March 7, 2017
FAX OR E-MAIL TO: 235-9171 / Imartin@southbendin.gov
RECOMMENDATIONS AND COMMENTS:
By Date
For all municipal business license questions, contact: City of South Bend • Department of Community Investment
227 West Jefferson Blvd • Suite 1400 S -South Bend, Indiana 46601 •574.235.5912 �:G574, 35�� I I Q4 r VP
LICENSE APPLICATION FOR — OPEN-AIR BUSINESS
MUNICIPAL CODE SECTION - 4-38 /
I. APPLICATION TYPE Check One: New t / Renewal _
II. BUSINESS DATA /1
A. Business Name: IeIA� J S ca�
B. Business Mailing Address: _5�j -1 ) -7 MI J _sje L A\LC
T
City: 2/rSa jaL(4 jAj,2kr. State: 10 Zip: y6' Q,5
C. Mailing Address (if differs):
City:
D. Business Telephone Number: ll� - 2 %t`,- L Dq
E. Business Fax Nu
F. E-Mail Address:
Zip:
G. Proposed location ofOpen-Air Business: Cref41C( o(- IAladlkl 1611
6Aj MG,A �LOA eT Cot -Ad �C'use--
Proposed location is (check one):
On Private Property: (Include signed permission statement from property
owner or lessee, and site plan drawing or diagram showing proposed location and
drawing or diagram showing proposed facility).
On Public Property: X (Include site plan drawing or diagram showing
proposed location and drawing or diagram showing proposed facility).
H. Zoning of proposed
I. Number of off-street parking spaces available to public and/or employees:
J. Description of Open -Air facility: e r. 1cg5s o / C o { Ce CAC {-
K. Will the Open -Air facility have a tent:
L. Proposed dates of operation: A
No X
M. Proposed hours of operation: +] A M - T O M
R o_un00
Application Filed FEB 2 8 2017
Application Fee Paid FFR 2FFR 2 R Z017Z017
Sent to Dept. I-tli2 S
Code Enforcement Approval
Not Approved
Reason
For Office Use Only
License Number I 7 00(0
APP20`aD
Board of P"Idio Work--
For all municipal business Ilcense questions, contact: City of South Bend • Department of Community Investment
227 West Jefferson Blvd • Suite 1400 S -South Bend, Indiana 46601 •574.235.5912 • F: 574.235.9021
LICENSE APPLICATION FOR — OPEN-AIR BUSINESS
MUNICIPAL CODE SECTION - 4-38
II. BUSINESS DATA (Continued)
M. Types of goods to be sold or received: ifs p('e 5 s0 Cc E r e
N. Scales will be used in business transactions: Yes No
If yes, please attach certificate from the Sealer of Weights and Measures.
III•�e gee
A. Applicant's Legal Name:
B. Residential Address: `E 7 :7 -7 N Ulf-F (J A'/e .
City: H ; shO wG kQ State: IN zip:
C. Residential Telephone Number: L7 62— �Jw q
D. Cellphone Number:
E. Position with business:
F. Date of birth: 0(o / b 2
G. Honorably discharged veteran: Yes
If yes, please attach a copy of your DD214 papers.
IV. INCLUDE $5.00 PROCESSING FEE WITH APPLICATION
No
V. INCLUDE SITE PLAN DRAWING OF PROPERTY SHOWING BUILDINGS, PARKING SPACES, AND
PROPOSED OPEN-AIR BUSINESS LOCATION. INCLUDE NORTH ARROW.
VI. INCLUDE WRITTEN STATEMENT OF PERMISSION FROM PRIVATE PROPERTY OWNER/LESSEE.
VII. AFFIRMATION
I, hereby, certify and affirm that all of the information I have given in this application is true and
accurate to the best of my knowledge. I further certify that I have in no way attempted to
mislead the City in this application by omittingfacts known to me. I have read and understand
the regulations of the Open -Air Business license found in the City of South Bend Municipal
Code, Section 4-38.
/0
Sig ature Date
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