Fillable LICENSE APPLICATION FOR SELF-SERVICE LAUNDRIES MUNICIPAL CODE SECTION (City of South Bend)

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LICENSE APPLICATION FOR SELF-SERVICE LAUNDRIES MUNICIPAL CODE SECTION (City of South Bend)

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The LICENSE APPLICATION FOR SELF-SERVICE LAUNDRIES MUNICIPAL CODE SECTION (City of South Bend) form is 3 pages long and contains:

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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 – SELF-SERVICE LAUNDRIES
MUNICIPAL CODE SECTION – 4-34
DEFINITION:
Self-service laundries or dry cleaners mean only those establishments which provide self-
operated washing or drying facilities and which are open and available to the general public. The
term does not include any establishments wherein the laundry services are performed by
employees of the operator of the laundry establishment, nor does this term include self-service
laundry facilities which are provided for or established in apartment or multiple-rental units, as
long as such self-service laundries are not open to the general public and are restricted in their
availability to the tenants or inhabitants of such apartment or multiple-rental units.
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. The license fee payable to City of South Bend is a minimum annual license fee of $45.00 per
establishment or $3.00 for each washing machine, dryer, or combination washing machine-
dryer, or dry cleaning machine used in the establishment, whichever is higher (e.g. 1-15
machines is $45.00 per establishment or 15 plus machines is $3.00 per machine).
APPLICATION PROCESS:
1. Thoroughly review Municipal Code Section 4-34.
2. Submit Application with $5.00 Processing Fee.
3. Controller Approves or Denies License.
4. License issued upon approval and payment of the license fee.
5. Compliance with all requirements of Municipal Code Section 4-34.
6. Zoning verification by the Building Department.
7. Required inspection by the Fire Department.
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 – SELF-SERVICE LAUNDRIES
MUNICIPAL CODE SECTION – 4-34
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. Total Number of Machines Available for use by Patrons:
Washers:
Dryers:
Washer/Dryer Combinations:
Dry Cleaning Machines:
H. 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:
E. Position with Business:
For Office Use Only
Application Filed Fire Dept. Approval
Application Fee Paid Building Dept. Approval
Sent to Dept. License Fee Paid
License Number
Not Approved
3
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 – SELF-SERVICE LAUNDRIES
MUNICIPAL CODE SECTION – 4-34
V. 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 the Self-Service Laundries license found in the City of South Bend Municipal
Code, Section 4-34.
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LICENSE APPLICATION FOR SELF-SERVICE LAUNDRIES MUNICIPAL CODE SECTION (City of South Bend)

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Completed 16 July 2020

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