Fillable LICENSE APPLICATION FOR RESTAURANT MUNICIPAL CODE SECTION 4-45 (City of South Bend)

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LICENSE APPLICATION FOR RESTAURANT MUNICIPAL CODE SECTION 4-45 (City of South Bend)

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For all municipal business license questions, contact: 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 – RESTAURANT
MUNICIPAL CODE SECTION – 4-45 (SEE ALSO 4-46)
DEFINITION:
Restaurants include any coffee shop, cafeteria, short order cafe, luncheonette, grill, sandwich
stand, soda fountain, drive-in restaurant, walk-up restaurant, mobile food vendor, mobile food
cart, drive-in theater restaurant, in-plant food service, tavern, commissary, snack bar, tea room,
fast-food restaurant, or restaurant without live entertainment or music, food catering or food
service establishment, hotel or motel where continental breakfast is served, retail food markets,
whether fixed or movable, where food for human consumption is prepared or served in such
manner that it is ready for consumption on the premises.
The term "restaurant" shall not include a food service establishment that is known as a retail
food market where food is not prepared and served for consumption on the premises with the
exception of retail food markets that contain soda fountains, coffee dispensers or slushy
machines; nor shall the term "restaurant" include any coin-operated vending machine
dispensing any kind or type of food, confectionery or beverage.
Mobile Food Vendor Vehicle means a licensed motorized vehicle that is enclosed, self-contained
and serves food items to the general public. Food items may be prepared, cooked, and
assembled in the vehicle or may have been prepared, wrapped or packaged in a licensed food
establishment.
IF DESCRIPTION DOES NOT APPLY, SEE:
Food Vending Vehicle (§4-25)
Itinerant Restaurant (§§4-45 & 4-46)
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 March 1st for restaurant names beginning with letters A-M; Licenses expire
April 1st for restaurant names beginning with letters N-Z.
5. Add 10% to license fee for renewal after expiration.
6. Include $5.00 application processing fee payable to City of South Bend.
7. License fee payable to City of South Bend due at issuance - $90.00 if 150 seats or less; $110
if more than 150 seats; $30.00 adder to above fees for live entertainment; $525.00 for
Mobile Food Vendor Vehicles.
8. See §4-46 if live music/entertainment provided.
9. See §4-45(c) for fee waivers.
For all municipal business license questions, contact: 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 – RESTAURANT
MUNICIPAL CODE SECTION – 4-45 (SEE ALSO 4-46)
EXEMPTIONS
1. No license fee shall be paid for restaurants operated by fraternal organizations, service
clubs, or religious, educational or charitable institutions. However, all other provisions of
this section shall apply to such establishments. Therefore, you are still required to submit
the application and $5.00 processing fee.
REQUIRED INFORMATION AND MATERIALS:
1. Health Permit pursuant to inspection and approval by County Health Officer.
2. St. Joseph County Health Department Plan and Review Application for new facilities.
3. Fire and Building Department Inspections as required by City Controller.
4. Valid certificate signed by Sealer of Weights and Measures if food to be sold by weight or
measure.
5. Must comply with minimum sanitation requirements as specified by Indiana State Board of
Health, Regulation HFD 17 and all changes and amendments (available on file with City
Clerk).
APPLICATION PROCESS:
1. Review Municipal Code Sections 4-45 & 4-46 thoroughly.
2. Submit Application with $5.00 Processing Fee.
3. Inspection and approval by the County Health Officer, as evidenced by a valid Health Permit
4. Inspections by the Fire Department and Building Department as required.
5. Applicants desiring to sell food by weight or measure shall file a valid certificate signed by
the Sealer of Weights and Measures that all scales and measures to be used in said business
have been tested and approved, at the time of making application.
6. License issued upon approval and payment of the license fee.
1
For all municipal business license questions, contact: 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 – RESTAURANT
MUNICIPAL CODE SECTION – 4-45 (SEE ALSO 4-46)
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. Business E-Mail Address
G. Type of Zoning at Business Location
H. Number of Employees
I. Maximum Seating Capacity
J. Do you provide live music or other live entertainment?
Yes No
If yes, state the type of live entertainment provided
K. Do you have pool tables?
Yes No If yes, how many
III. GENERAL QUESTIONS
A. Will food be sold by weight or measure? Yes No
If yes, please attach the certificate from the Sealer Weights and Measures.
B. Is your restaurant operated by a not-for-profit fraternal organization, service club, or
religious, educational, or charitable institution? Yes No
For Office Use Only
Application Filed Building Dept. Approval
Application Fee Paid Fire Dept. Approval
Sent to Dept. License Fee Paid
Health Dept. Approval License Number
Not Approved
Reason
2
For all municipal business license questions, contact: 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 – RESTAURANT
MUNICIPAL CODE SECTION – 4-45 (SEE ALSO 4-46)
IV. PERSONAL DATA
A. Applicants Legal Name
B. Residential Address
City State Zip
C. Residential Telephone Number
D. Cellphone Number
E. E-Mail Address
F. Position with Business
V. OWNERSHIP
A. Owners Legal Name
B. Residential Address
City State Zip
C. Residential Telephone Number
D. Cellphone Number
E. E-Mail Address
VI. INCLUDE $5.00 PROCESSING FEE WITH APPLICATION
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 Restaurant license found in the City of South Bend Municipal Code,
Sections 4-45 and 4-46.
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LICENSE APPLICATION FOR RESTAURANT MUNICIPAL CODE SECTION 4-45 (City of South Bend)

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Completed 16 July 2020

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