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Open Air Business - Stacy Wood
W H l CART Lbirnews,ows 511, Xsw, x 9,4" For all municipal business license questions, contact: city of South Bend • Department of Community Investment 227 West Jefferson Blvd • Suite 1400S -South Bend, Indiana 46601 •574.2 .5912 • F: 574.235.9021 1) REciJ'�•6741R9 ��°p LICENSE APPLICATION FOR - OPEN-AIR BUSINESS MUNICIPAL CODE SECTION - 4-38 I. APPLICATION TYPE Check One: New X Renewal IL BUSINESS DATA A. Business Name: STACY WOOD B. Business Mailing Address: 1444 LINDEN DR. City: SAINT JOSEPH C. Mailing Address (if differs): SAME City: State: D. Business Telephone Number: 574-298-5662 E. Business Fax Number: MI Zip:49085 F. E-Mail Address: STACYSTRANSPORTATION41@GMAIL.COM G. Proposed location of Open -Air Business: 1) 101 N. MAIN (JUST S. OR N. OF COURTHOUSE STAIRS) 2) SE CORNER OF MICHIGAN & WASHINGTON 3) NE CORNER OF COLFAX & MICHIGAN (JOHN HUNT PLAZA) 4) 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 location: I. Number of off-street parking spaces available to public and/or employees: J. Description of Open -Air facility: HOT DOG CART K. Will the Open -Air facility have a tent: Yes No X L. Proposed dates of operation: JANUARY - DECEMBER M. Proposed hours of operatlon:1)M-S 10AM-8PM 2)M-S 10AM-8PM 3)' 'FRIDAY'S&DURING SHOWS/CONCERTS For Office Use Only Application Filed MAR. 6, 2017 ' ' De artment Approval Application Fee Paid MAR. 6, 2017 Public Work ,if public property) Sent to Dept. MAR- 7, 2017 _ License Fee Paid MAR. 6, 2017 Code Enforcement Approval Not Approved Reason License Number 17-8007 For all municipal business I lcensequestions, contact: City of South Bend -Department of Community Investment 227 West Jefferson Blvd • Suite 14005 -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: HOT DOGS, SAUSAGE, CHILI, SAUERKRAUT, CHIPS, PREPACKAGED ICECREAM N. Scales will be used in business transactions: Yes No S If yes, please attach certificate from the Sealer of Weights and Measures. III. PERSONAL DATA A. Applicant's Legal Name: STACY LYNN WOOD B. Residential Address: 1444 LINDEN DR. City: SAINT JOSEPH C. Residential Telephone Number: D. Cellphone Number: 574-298-5662 E. Position with business: OWNER F. Date of birth: 11/24/1972 G. Honorably discharged veteran: Yes State: MI - Zip: 49085 If yes, please attach a copy of your DD214 papers. IV. INCLUDE $S.00 PROCESSING FEE WITH APPLICATION No X V. INCLUDE SITE PLAN DRAWING OF PROPERTY SHOWING BUILDINGS, PARKING SPACES, AND PROPOSED OPEN-AIR BUSINESS LOCATION. INCLUDE NORTH ARROW. VI. INCLUDE WRITTEN STATEMENT OF PERMISSION FROM PRIVATE PROPERTY OWNER/LESSEE. VIL AFFIRMATION I, hereby, certify and affirm that all of the information I have given in this application is true and accurate to the best of my knowledge. I further certify that I have in no way attempted to Mislead the City in this application by omitting facts known to me. I have read and understand the regulations of the Open -Air Business license found in the City ofSouth Bend Municipal Code, Section 4-38. Signature Date )��C\ Page 1 of 1 Google Maps' 101 S Main St Just South or North of the Courthouse stairs Image capture: Sep 2011 ® 2017 Google South Bend, Indiana Street View - Sep 2011 art House Steps hops://www.google.com/maps/place/110+S+Main+St,+South+Bend,+IN+46601/@41.6760... 3/6/2017 COO CI �DOS4L C 3 1 g' Si, ro T.C. U, gk., k z Goggle Maps' 103 S Michigan St SE Corner of Michigan St. and Washington St. South Bend, Indiana Street View - Oct 2011 nvc isell Mansion,��t ,i South 666A Page 1 of 1 Image capture: Oct 2011 ® 2017 Google https://www.google.com/maps/@41.6763279,-86.2503455,3a,75y,123.75h,76.46t/data=! 3m... 3/6/2017 Page 1 of 1 Go, :lgle Maps 225 N Michigan St NE corner of Colfax & Michigan St. (John Hunt Plaza) Image capture: Aug 2007 © 2017 Google South Bend, Indiana Street View -Aug 2007 e Ave zu €a'a`.elle Ate Morcls�Perfc D��r T ()Blydsell Mansion Arts GeNter �tI drt House Steps `) Se�t�P Wort Cone2aar-�s ? 51�oLt�s 5 -ln anal https://www.google.com/maps/@41.6779536,-86.2504515,3a,75y,149.13h,81.9t/data=! 3m6... 3/6/2017 lE- R,\ f orf:$ pQr}prrv�in� �rjS (PJe1 El .0 PLzzc, El 140T D G "PR �0onf"'VI Yvkv, 11"4- P I A�q