Fillable LICENSE APPLICATION FOR VEHICLE REMOVAL SERVICE MUNICIPAL CODE (City of South Bend)

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LICENSE APPLICATION FOR VEHICLE REMOVAL SERVICE MUNICIPAL CODE (City of South Bend)

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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 – VEHICLE REMOVAL SERVICE
MUNICIPAL CODE SECTION – 4-20.5
DEFINITION:
Engaging in the business of towing or otherwise removing unauthorized vehicles from private
property, including: booting, impounding, disabling, or taking any other action having the effect
of restricting the access to such vehicle of the owner or operator of such vehicle or restricting
the free and unencumbered movement of such vehicle.
IF DESCRIPTION DOES NOT APPLY, SEE:
Automotive Repair and Service Centers (Ord. §4-20)
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 - $125.00.
REQUIRED INFORMATION AND MATERIALS:
1. If vehicle removal activities are associated with an Automotive Repair and Service business,
§4-20 applies and a permit under this section is not required.
2. List of all properties from which vehicles will be removed along with owner names and
addresses.
3. List of all properties where removed vehicles will be stored.
4. Detailed schedule of fees for removal, storage and release of vehicles, including charges for
actions not resulting in removal.
5. If vehicle storage by others, include list of fees charged by those entities, attested to by
same. (§4-20.5(c)(2))
6. A Certificate of Liability Insurance with the City of South Bend listed as the certificate holder.
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 – VEHICLE REMOVAL SERVICE
MUNICIPAL CODE SECTION – 4-20.5
APPLICATION PROCESS:
1. Review Municipal Code Sections 4-20.5 & 4-20 thoroughly.
2. Submit Application with $5.00 Processing Fee.
3. Department of Code Enforcement, Police Department, and Fire Prevention Bureau inspect,
review and make recommendations.
4. File a copy of the certificate of liability insurance with City Controller.
5. File detailed schedule of fees and certificate of liability insurance with Board of Public
Works.
6. License issued upon approval and payment of the license fee.
7. File amended schedule of fees 30 days before implementation.
8. Premises inspected by Department of Code Enforcement and Fire Prevention Bureau every
six months.
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 – VEHICLE REMOVAL SERVICE
MUNICIPAL CODE SECTION – 4-20.5
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. Insurance Carrier, Agent, and Amount of Liability Insurance:
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 Police Dept. Approval
Sent to Dept. License Fee Paid
Code Enforcement Approval 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 – VEHICLE REMOVAL SERVICE
MUNICIPAL CODE SECTION – 4-20.5
III. PERSONAL DATA (Continued)
F. Social Security Number:
G. Gender:
H. Date of birth:
I. Race:
IV. ADDRESSES FOR EACH PROPERTY WHERE VEHICLES TOWED BY YOUR COMPANY WILL BE STORED.
A.
B.
C.
D.
E.
V. INCLUDE WITH APPLICATION:
• Detailed schedule of fees.
• Current certificate of liability insurance with the City of South Bend listed as the certificate
holder.
• List of all private properties from which you remove unauthorized vehicles, including names
and addresses of property owners.
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 Vehicle Removal license found in the City of South Bend Municipal Code,
Section 4-20.5.
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LICENSE APPLICATION FOR VEHICLE REMOVAL SERVICE MUNICIPAL CODE (City of South Bend)

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Completed 16 July 2020

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