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Check One'. <br />BUSINESS DATA <br />� I � r_ <br />J CENSE APPLICAMN FOR <br />CI —91 Y OF SOU TH BEND, INDIANA <br />South Bend municipal Code Section 4--5, i <br />NEW LRENEWAL <br />I <br />A. Type of license applied for: <br />SCRAP METAL DEALER <br />[a] <br />X <br />RECYCLING OPERATION <br />Business Name <br />Ri m nrss. Address <br />City --? I r l <br />Mailing Address (If different from above) <br />City <br />0 Oj <br />JUNK DEALER <br />State Zip q, &' I _jc <br />State 1__V\ Zip CA (1 3 1 (. <br />E Business Telephone Number <br />F. Business Fax Number <br />1, - I 1\ �. <br />G. E-mail Address <br />Zoning of proposed location <br />I. Lot Size of premises <br />J. Type of fencing used <br />Please Continue to Page 2 (barV, of sheet) <br />L-1mom <br />4 <br />For Qffiqe::LjS0_.Q!1.1y <br />