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1 <br />For all municipal business license questions, contact: City of South Bend • Department of Community Investment <br />215 S. Dr. Martin Luther King Jr. Blvd. • Suite 500 <br />South Bend, Indiana 46601 • 574.235.5912 • F: 574.235.9021 <br />LICENSE APPLICATION FOR – RUBBISH AND GARBAGE REMOVAL <br />MUNICIPAL CODE SECTION - 4-48 <br />I.APPLICATION TYPE Check One:New Renewal <br />II.BUSINESS DATA <br />A.Business Name: <br />B. Business Address: <br />City: State: Zip: <br />C.Mailing Address (if differs): <br />City: State: Zip: <br />D.Business Telephone Number: <br />E.Business Fax Number: <br />F.E-Mail Address: <br />G.Proposed Location where Vehicles will be Parked and Stored: <br />H.Zoning of Proposed Parking and Storage Location: <br />I.Location where the applicant proposes to dispose of waste: <br />III.PERSONAL DATA <br />A.Applicant's Legal Name: <br />B.Residential Address: <br />City: State: Zip: <br />C.Residential Telephone Number: <br />D.Cellphone Number: <br />E.Position with Business: <br />For Office Use Only <br />Application Filed Code Enforcement Approval <br />Application Fee Paid Central Services Approval <br />Sent to Dept. License Fee Paid <br />License Number <br />Decal Number(s) <br />Not Approved <br />Reason