Fillable LICENSE APPLICATION FOR FOOD VENDING VEHICLE MUNICIPAL CODE (City of South Bend)

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LICENSE APPLICATION FOR FOOD VENDING VEHICLE MUNICIPAL CODE (City of South Bend)

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The LICENSE APPLICATION FOR FOOD VENDING VEHICLE MUNICIPAL CODE (City of South Bend) form is 3 pages long and contains:

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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 – FOOD VENDING VEHICLE
MUNICIPAL CODE SECTION - 4-25
DEFINITION:
Food vending vehicles include any vehicles from which food items such as ice cream, candy or
other food sundries are sold directly to a consumer at retail, and which is operated on any public
road, street or other place within the City.
IF DESCRIPTION DOES NOT APPLY, SEE:
Itinerant Restaurant (Ord. §4-45)
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 January 31.
6. Include $5.00 license application fee payable to City of South Bend.
7. L
icense fee payable to City of South Bend due at issuance - $65.00.
REQUIRED INFORMATION AND MATERIALS:
1. Vehicle / Driver's License State and Number and VIN (if applicable).
2. H
ealth Officer Inspection of vehicle.
3. Police Department Inspection of required safety equipment.
APPLICATION PROCESS:
1. Submit Application with $5.00 Processing Fee.
2. Police Review and Recommendation to City Controller including Criminal / Traffic Record
and Public Health, Safety and Welfare issues.
3. Controller Denies or Approves License (May require personal or surety bond).
4. License issued upon approval and payment of the license fee.
5. License Holder may do business with properly displayed metal sign and required safety
equipment in good operating order.
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
1
LICENSE APPLICATION FOR – FOOD VENDING VEHICLE
MUNICIPAL CODE SECTION - 4-25
I. APPLICATION TYPE Check One: New Renewal
II. BUSINESS DATA
A. Business Name:
B. Business Address:
City: State: Zip:
C. Mailing Address (if differs):
City: State: Zip:
D. Business Telephone Number:
E. Business Fax Number:
F. E-Mail Address:
G. # of Vehicles:
H. Vehicle license number and issuing state:
I. Vehicle Identification Number (VIN):
J. Items to be sold:
K. Insurance Carrier, Agency, and Amount of Liability Insurance:
For Office Use Only
Application Filed Central Services Vehicle Inspection
Application Fee Paid License Fee Paid
Sent to Dept. License Number
Health Department Approval Metal Sign 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
2
LICENSE APPLICATION FOR – FOOD VENDING VEHICLE
MUNICIPAL CODE SECTION - 4-25
III. PERSONAL DATA
A. Applicant's Legal Name:
B. Residential Address:
City: State: Zip:
C. Residential Telephone Number:
D. Cellphone Number:
IV. INCLUDE COPY OF CURRENT LIABILITY INSURANCE POLICY WITH APPLICATION
V. INCLUDE $5.00 PROCESSING FEE WITH APPLICATION
VI. 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 Food Vending Vehicle license found in the City of South Bend Municipal
Code, Section 4-25.
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LICENSE APPLICATION FOR FOOD VENDING VEHICLE MUNICIPAL CODE (City of South Bend)

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Completed 16 July 2020

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