Fillable LICENSE APPLICATION FOR AUTOMOTIVE REPAIR AND SERVICE CENTER (City of South Bend)

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LICENSE APPLICATION FOR AUTOMOTIVE REPAIR AND SERVICE CENTER (City of South Bend)

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The LICENSE APPLICATION FOR AUTOMOTIVE REPAIR AND SERVICE CENTER (City of South Bend) form is 3 pages long and contains:

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BROWSE CITY OF SOUTH BEND (IN) FORMS

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For all municipal business license questions, contact: City of South Bend • Department of Community Investment
227 West Jefferson Blvd • Suite 1400 S •South Bend, Indiana 46601 • 574.235.5912 • F: 574.235.9021
LICENSE APPLICATION FOR – AUTOMOTIVE REPAIR AND SERVICE CENTER
MUNICIPAL CODE SECTION – 4-20
DEFINITION:
Automotive Repair and Service Center shall mean any location where motor vehicle repair,
servicing, and/or storage is done on the premises for a fee.
IF DESCRIPTION DOES NOT APPLY, SEE:
Vehicle Removal Service (Ord. §4-20.5)
GENERAL INSTRUCTIONS:
1. Print legibly and complete all sections to ensure efficient processing.
2. Assemble all required information and materials before filing application.
3. Thoroughly review all applicable Municipal Code Sections listed above.
4. Licenses expire January 31.
5. Add 10% to license fee for renewal after expiration.
6. Include $5.00 license application fee payable to City of South Bend.
7. License fee payable to City of South Bend due at issuance - $200.00.
REQUIRED INFORMATION AND MATERIALS:
1. Zoning and physical description of facility to be used.
2. Description of work to be performed on premises.
APPLICATION PROCESS:
1. Review Municipal Code Sections 4-20 & 4-20.5, and NFPA Nos. 30, 33, & 70 thoroughly.
2. Submit Application with $5.00 Processing Fee.
3. Department of Code Enforcement and Fire Prevention Bureau inspect, review and
make recommendations.
4. Building Department verifies zoning to determine whether or not the service being provided
is permissible at said location.
5. Ensure structure, fire suppression system, and required site fencing comply with
applicable standards.
6. License issued upon approval and payment of fee.
7. Premises inspected by Department of Code Enforcement and Fire Prevention Bureau every
six months.
For all municipal business license questions, contact: City of South Bend • Department of Community Investment
227 West Jefferson Blvd • Suite 1400 S •South Bend, Indiana 46601 • 574.235.5912 • F: 574.235.9021
LICENSE APPLICATION FOR – AUTOMOTIVE REPAIR AND SERVICE CENTER
MUNICIPAL CODE SECTION – 4-20
I. APPLICATION TYPE Check One: New Renewal
II. BUSINESS DATA
A. Business Name:
B. Business Address:
City: State: Zip:
C. Mailing Address (If different from above):
City: State: Zip:
D. Business Telephone Number:
E. Business Fax Number:
F. E-Mail Address:
G. Zoning of Business Location:
H. Number of Off-Street Parking spaces available to the public and employees:
I. Number of Service Bays:
J. Description of the building to be used:
1. Age of Building:
2. Type of Building Material:
3. Square Footage of Building:
K. Square footage of fenced area intended for storing vehicles:
L. List specific types of automotive repair and/or services offered:
For Office Use Only
Application Filed Fire Dept. Approval
Application Fee Paid Building Dept. Approval
Sent to Dept. License Fee Paid
Code Approval License Number
Not Approved
Reason
For all municipal business license questions, contact: City of South Bend • Department of Community Investment
227 West Jefferson Blvd • Suite 1400 S •South Bend, Indiana 46601 • 574.235.5912 • F: 574.235.9021
LICENSE APPLICATION FOR – AUTOMOTIVE REPAIR AND SERVICE CENTER
MUNICIPAL CODE SECTION – 4-20
III. APPLICANT’S PERSONAL DATA
A. Applicant's Legal Name:
B. Residential Address:
City: State: Zip:
C. Residential Telephone Number:
D. Cellphone Number:
E. Position with Business:
IV. OWNERS PERSONAL DATA
A. Owners Legal Name:
B. Residential Address:
City: State: Zip:
C. Residential Telephone Number:
D. Cellphone Number:
E. Position with Business:
V. GENERAL QUESTIONS:
A. Do you serve as a VEHICLE REMOVAL SERVICE for private lots pursuant to §. 4-20.5?
Yes: No:
B. Will BODY WORK be done at this location?
Yes: No:
C. Will PAINTING be done at this location?
Yes: No:
D. Will vehicles remain outdoors for more than seventy-two (72) consecutive hours in any
one week?
Yes: No:
VI. INCLUDE $5.00 PROCESSING FEE WITHAPPLICATION
VII. AFFIRMATION
I, hereby, certify and affirm that all of the information I have given in this application is true and
accurate to the best of my knowledge. I further certify that I have in no way attempted to
mislead the City in this application by omitting facts known to me. I have read and understand
the regulations of the Automotive Repair and Service Center license found in the City of South
Bend Municipal Code, Section 4-20.
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LICENSE APPLICATION FOR AUTOMOTIVE REPAIR AND SERVICE CENTER (City of South Bend)

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Completed 16 July 2020

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