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For all municipal business license questions, contact: City of South Bend • Department of Community Investment <br />227 West Jefferson Blvd • Suite 14005 -South Bend, Indiana 46601 •574.235.5912 • F: 57.4.235.9021 <br />9045i7aa $5.01) <br />LICENSE APPLICATION FOR -TRANSIENT MERCHANT <br />MUNICIPAL CODE SECTION -4-60 <br />I. APPLICATION TYPE Check One: New Renewal <br />II. BUSINESS DATA <br />A. Name of Event: St. Joseph County 4-H Fair <br />B. Business Name: St. Joseph County 4-H Fair, Inc. <br />C. Business Address: 5117 South Ironwood Drive <br />City: <br />South Bend <br />D. Mailing Address (if differs):_ <br />City: <br />E. Business Telephone Number: <br />F. Business Fax Number: <br />State: IN Zip: <br />State:. <br />574-291-4870 <br />574-291-7302 <br />G. E-Mail Address: info@4hfair.com <br />H. Indiana State Retailer License number: <br />00031352840000 <br />Zip: <br />I. Proposed location where business will be conducted: total grounds <br />J. Description of building or premises to be used: total grounds <br />K. Proposed Dates of Operation: <br />L. Proposed Hours of Operation: <br />June 30, 2017 - July 8, 2017 <br />8:00 a.m. - 11:00 p.m., daily <br />X <br />46614 <br />M. Types of goods to be sold: fair food, crafts, carnival rides <br />N. Scales will be used in business transactions: Yes No X <br />If yes, please attach certificate from the Sealer of Weights and Measures, <br />O. Food will be served in ready -to -eat condition: Yes X No <br />P. Description of nature of proposed advertising: Radio, TV, Newspaper <br />Application Filed <br />Application Fee I <br />Sent to Dept. _ <br />Not Approved <br />Reason <br />For Office Use Only <br />JAN 19 2017 Public Works Approval <br />License Num her (1' 56 VPWVED <br />Board of PCfdic Works <br />FEB 14, Z1,17 /I --I <br />1 <br />