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Open Air Business Renewal - The Outside Scoop
INTER -OFFICE MEMORANDUM BOARD OF PUBLIC WORKS DATE SENT: 1/12/2018 TO: tt Longfellow, Engineering Larry Magliozzi, Area Plan gela Smith, Area Plan Chris Dressel, Community Investment /Randy Wilkerson, Code Enforcement Legal Department FROM: Linda M. Martin, Clerk SUBJECT: OPEN AIR BUSINES RENEWAL RECOMMENDATION - APPLICANT: The Outside Scoop LOCATION: SE Corner of Michigan & Jefferson St March -November 10.00 am-8:00 p.m. Evenings During DATE(S)/TIME(S): Events DATE DUE: June 16, 2018 FAX OR E-MAIL TO: 235-9171 1 Imartin@southbendin.gov RECOMMENDATIONS AND COMMENTS: By Date For all municipal business I Icense questions, contact: City of South Bend -Department of community Investment 227 West Jefferson Blvd - Suite 14005 -South Bend, Indiana 46601 - 574.235.5912 - F: 574135.9021 -Rc c I* - � -/ Waq D '14 LICENSE APPLICATION FOR - OPEN-AIR BUSINESS MUNICIPAL CODE SECTION - 4-38 I. APPLICATION TYPE Check One: New 11, BUSINESS DATA A. Business Name: B. Business Mailing Address:, , J,, City- 7--v Id, State: C. Mailing Address (if differs): Renewal 33 City: — State: Zip: D. Business Telephone Number: `1,-7q 213a,_ q(,z E. Business Fax Number: F. E-Mail Address: G. Proposed location of Opens -Air Business: 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: N (Include site plan drawing or diagram showing proposed location and drawing or diagram showing proposed facility). H. Zoning of proposed location: C-Q> 6 I. Number of off-street parking spaces available to public and/or employees: J. Description of Open -Air facility:. creo_�11 K. Will the Open -Air facility have a tent: Yes No L. Proposed dates of operation: fY)a.ci-j� �N.Lve-r-el M. Proposed hours of operation: Iqrr I -A eae,_' For Office Use only Application Filed JAN 112018 Building Department Approval Application Fee Paid — i Public Works (if public propert Sent to Dept. JAN 112018 License Fee Paid JAN I i Code Enforcement Approval License Number /0-60�� Not Approved Reason 0 for all municipal business license questions, contact: City of South Bend -Department of Community Investment 227 West Jefferson MW - 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) � / r1 M. Types of goods to be sold or received: L,4 N. Scales will be used in business transactions: Yes EM If yes, please attach certificate from the Sealer of Weights and Measures. III, PERSONAL DATA A. Applicant's Legal Name: 0 ,2_, c c t rz to ',-t,a_I-) B. Residential Address: _j� 1 `7 City:- �v� �— State: J(% Zip: C. Residential Telephone Number: ! "-) 11 - - Ll,i 6 r D. Cellphone Number: L10 E. Position with business: Go F. Date of birth; 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, Vl, INCLUDE WRITTEN STATEMENT OF PERMISSION FROM PRIVATE PROPERTY OWNER/LESSEE. ►UIIW-11a9113LTA ►.,%I[h• 1, 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,C.ity of South Bend Municipal Code, Section 4-38. Signatu a Date o yr .n A n a � A p. e m I'L -.03 IJ fD rb � A IQ 5 upFatNaEW S 3S -0E421IW S . 1S kwomom S 7S tjobitivy S .. 3S unflcEpfW S i5 unfi3ilu1W _4 m J .. CL - S L ro fo N p � a m c t K n (o 0 ro v 3 G ro 7 d O Lr Lr W .-r rr, (D C r-Y IT (D n m O p} 91, For all municipal business license questions, contact; city of South Bend • Department of Community Investment 227 West Jefferson Blvd - Suite 1400E *South ©end Indiana 46601 • SM235.5812 . F, 57n.235,5021 M3 . LICENSE APPLICATION FOR OPEN-AIR BUSINESS MUNICIPAL CODE SECTION - 4-38 I, APPLICATION TYPE Check one: New Renewal _ X, fi. BUSINESS DATA i j r A, Business Name. �'be_ Ot'J �c*e- 0,--oo, B. Business Mailing Address: 11 f `7 K1. C ram ^ h ; fl City:QW-i A State: Zip: C. Mailing Address (if differs): City: State: Zip: D. Business Telephone Number: _ a 7 q - ;� g E. Business Fax Number: F. E-Mail Address Soo 0. Proposed location of open -Air Business: _ ��r i 1� e-o—�, r- coV Proposed location Is (check one): on Private Property (Include signed permission, statement from property owner or lessee, and site plan drawing or diagram showing proposedlocation and drawing or diagram showing proposed facility), Can Public Property: jX— (Include site plan drawing or diagram showing proposed location and drawing or diagram showing proposed facility). N', Zoning of proposed location: C" I. Number of off-street parking spaces available to public and/or employees: J. Description of open -Air facility:.. . df K. Will the open -Air facility have a tent: Yes No L. Proposed dates of operation: Y . 'r l M. Proposed hours of operation:. ^ ✓ c For Office Use Only Application Filed JAN 1 1 201'8 Building Department Approval Application Fee Paid JAIL 112018 Public Works (if public property) Sent to Dept, _AU12911.8 License Fee Paid J%N I 1 Am Code Enforcement Approval License Number 1(-86�6 Not Approved Reason