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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 /> <br />1 <br /> <br /> <br />For Office Use Only <br />Application Filed Parks Board Approval <br />Application Fee Paid License Fee Paid <br />Sent to Dept. License Number <br />Plate Number(s) <br /> <br />Not Approved <br />Reason <br /> <br />LICENSE APPLICATION FOR - ARBORIST <br />MUNICIPAL CODE SECTION - 4-19 <br /> <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 different from above): <br />City: State: Zip: <br />D. Business Telephone Number: <br />E. Business Fax Number: <br />F. E-Mail Address: <br />G. Number of Employees: <br />H. Number of Vehicle Plates Needed: <br />I. List Equipment for planting, removing, trimming, spraying, and care of trees and shrubs: <br /> <br /> <br />J. Do you propagate your own stock? Yes: No: <br />If no, where is stock purchased: <br />K. Insurance Carrier, Agency, and Amount of Liability Insurance: <br /> <br /> <br />L. Type of zoning at the business location: <br /> <br /> <br />