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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 /> <br />For Office Use Only <br />Application Filed Building Department Approval <br />Application Fee Paid Fire Department Approval <br />Sent to Dept. License Fee Paid <br />License Number <br /> <br />Not Approved <br />Reason <br /> <br />LICENSE APPLICATION FOR – HOTELS AND MOTELS <br />MUNICIPAL CODE SECTION - 4-30 <br />I. APPLICATION TYPE Check One: New Renewal <br /> <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. Number of rooms available for rent: <br />H. Does the hotel serve food: Yes No <br />I. Does the hotel have a pool or spa: Yes No <br />J. Does the hotel have pool tables: Yes No <br />If yes, how many pool tables do you have? <br />K. Zoning of business location: <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. E-Mail Address: <br />F. Position with Business: <br /> <br /> <br />1 CONTINUE TO PAGE 2