HomeMy WebLinkAboutOpen Air Business - The Outside Scoop=
|
/
°
^
�
,
�
^
"
"
.
IN �
MM
I
— � 1
upoaft
to
I
.�
,?"if•l 1� .. , - ... i —
r
I C'}II--'ifiA i�l�� ���� li ,� ri I
rr
•
_e1yL L y y7
2
- — _ r< — ~L , -
II
'..
.. 4
- :i - V 1 y1. r�A11�`Y 1 1}i / 1 1•S IIII I1�{ ':l i�
[•- - r — � •�• -- n��[� ��A'T Y' � '1' Ilf�'.Y� •�Y � i1 •�J�/ J'zS: ����11G IG
y
[. Ij
I
�i � •1,1=,s; t�� ,t�a.�.,;}l.� � t:��j
.I,� _. �. . b, t"''�i �� 1 .N • I� � *i : L:
��
1�
' HIi,�'iLt
lay'
c 1�'� _ s'• ,••1��,1.1���[,�l
r
I
• y�
—
-1191
f
For all municipal business license questions, contact: City of South Bend -Department of Community Investment
227 West Jefferson Blvd o 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
seoa�,4j fc, Cry_-,ry-t
II. BUSINESS DATA (Continued) P0_c k_7 , i e� c�-e,�y-, 5ar��ls/r"� � ¢�
M. Types of goads to be sold or received: C F� j, a±,- >— � � ors",.,k S
N. Scales will be used in business transactions: Yes No �(
If yes, please attach certificate from the Sealer of Weights and Measures.
III. PERSONAL DATA
A. Applicant's Legal Name:
B. Residential Address-
City: State: �1 AJ Zip: qb h 1 1
C. Residential Telephone Number: _ S� - 1. 2-
D. Cellphone Number:
E. Position with business: Go F. Date of birth:. /0 -
G. Honorably discharged veteran: Yes No
If yes, please attach a Copy of your DD214 papers.
IV. INCLUDE $5.00 PROCESSING FEE WITH APPLICATION
V. INCLUDE SITE PLAN DRAWING OF PROPERTY SHOWING BUILDINGS, PARKING SPACES, AND
PROPOSED OPEN-AIR BUSINESS LOCATION. INCLUDE NORTH ARROW.
VI. INCLUDE WRITTEN STATEMENTOF 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 omitting facts 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.
Si ature Date
N
a a
m
a
n
m
O
W n
�1
m
m a
O
3
®
V `
O 0
N
m C
eD e
o
N
rD
,Wf
Q III
No
• Ep! �'^
lh�! I f Q��
6
w
0
Ln
a
II
o
//yy yyyy
�] yam•
f 4L
N
N
p
6/l ! [i
j
N
m
o
N
C
M
N
D
3
o []
n
ro
�
�
O
N 3
N
m
G�
X,
(D
d Z
i
II
1
ic-
{`
VI
irk y
o..
N
q �
4p/'�
N
f T
IG. N
�•
_ � . i
��
aSA�i
a 6
o
v
o
3 0
s�
7c n
m
cr
T
A
J
°
cr.
fD
clb
r`�
N ✓s ..
La
v d
`m
-
lh
o
v
A n
m
c
J
N
m
-t
n
m
N
O
3
m
n
d
5
Q
'ss
N
c
n
O
m
v
GO
m
.1- 1-1 - IM14 A 174.
ec
s_
r
i
u
S'
s
s
a.
N
��
3=
,r �
+' ,�..
'�.
_,,
P
�'
a
r
� ;
�,
9
dl
t i