Fillable LICENSE APPLICATION FOR HOTELS AND MOTELS MUNICIPAL CODE (City of South Bend)

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LICENSE APPLICATION FOR HOTELS AND MOTELS MUNICIPAL CODE (City of South Bend)

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The LICENSE APPLICATION FOR HOTELS AND MOTELS 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 – HOTELS AND MOTELS
MUNICIPAL CODE SECTION - 4-30
DEFINITION:
Hotels and motels include buildings in which lodging, with or without meals, is provided and
offered to the public for compensation and which is open to transient guests.
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 4-30 and Chapter 11.
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. License fee payable to City of South Bend due at issuance - $95.00.
APPLICATION PROCESS:
1. Submit Application with $5.00 Processing Fee.
2. Fire and Building Department Inspections as required.
3. Controller Denies or Approves License.
4. License issued upon approval and payment of the license fee.
1
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 – HOTELS AND MOTELS
MUNICIPAL CODE SECTION - 4-30
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. Number of rooms available for rent:
H. Does the hotel serve food: Yes No
I. Does the hotel have a pool or spa: Yes No
J. Does the hotel have pool tables: Yes No
If yes, how many pool tables do you have?
K. Zoning of business location:
III. PERSONAL DATA
A. Applicant's Legal Name:
B. Residential Address:
City: State: Zip:
C. Residential Telephone Number:
D. Cellphone Number:
For Office Use Only
Application Filed Building Department Approval
Application Fee Paid Fire Department Approval
Sent to Dept. License Fee Paid
License Number
Not Approved
Reason
2
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 – HOTELS AND MOTELS
MUNICIPAL CODE SECTION - 4-30
IV. INCLUDE $5.00 PROCESSING FEE WITH APPLICATION
V. 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 Hotels and Motels as found in the City of South Bend Municipal Code, Section
4-30.
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LICENSE APPLICATION FOR HOTELS AND MOTELS MUNICIPAL CODE (City of South Bend)

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Completed 16 July 2020

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