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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 />2 <br /> <br /> <br /> <br /> <br /> <br />LICENSE APPLICATION FOR – ITINERANT RESTAURANT <br />MUNICIPAL CODE SECTION – 4-45 (SEE ALSO 4-46) <br />IV. GENERAL QUESTIONS <br />A. Will food be sold by weight or measure: <br />Yes No <br />If yes, please attach certificate from the Sealer of Weights and Measures. <br />B. Is your restaurant operated by a not-for-profit fraternal organization, service club, or <br />religious, educational, or charitable institution: <br />Yes No <br />If yes, what is the name of the organization, club, or institution: <br /> <br />C. Do you provide music or other live entertainment: <br />Yes No <br />If yes, what is the type of live entertainment: <br /> <br /> <br />V. INCLUDE $5.00 PROCESSING FEE WITH APPLICATION <br />VI. AFFIRMATION <br /> <br />I, hereby, certify and affirm that all the information I have given in this application is true and <br />accurate to the best of my knowledge. I further certify that I have in no way attempted to <br />mislead the City in this application by omitting facts known to me. I have read and understand <br />the regulations of the Itinerant Restaurant license found in the City of South Bend Municipal <br />Code, Sections 4-45 and 4-46. <br /> <br /> <br /> <br /> <br />Signature Date