Transient Merchant Permit Application

License Application for - Transient Merchants

MUNICIPAL CODE SECTION – 4-60
South Bend Municipal Code: Section 4-60

Definition:

Transient merchant includes any person, firm, partnership, association or corporation which engages in the sale of merchandise in any place in the City on a temporary basis and does not anticipate becoming an established business merchant for a continuous sixty (60) days or longer.

A transient merchant includes anyone who for himself or as an agent for another, rents, erects, purchases, uses, or occupies any vehicle, room, building, or other structure, including but not limited to those located in or along parking lots, shopping centers, sidewalks, or other areas for the purpose of purchasing, selling, or offering for sale anything of value at such location for less than sixty (60) days.

IF DESCRIPTION DOES NOT APPLY, SEE:

Peddlers and Canvassers (Ord. §4-43)

Itinerant Restaurant (Ord. §§4-45, 4-46)

Open Air Business (Ord. §4-38)

General Instructions
1. Assemble all required information and materials before filing application.
2. Thoroughly review all applicable Municipal Code Sections listed above.
3. Licenses expire January 31.
4. Add 10% to license fee for renewal after expiration date.
5. Include $5.00 license application fee payable to City of South Bend.
6. License fee payable to City of South Bend due at issuance - $135 if business will operate 0-59 days. $50 for Christmas greenery only
7. If applicant resides outside the South Bend city limits, they will need to complete a background check form.
Required Information and Materials
1. Business information.
2. Description of proposed location.
3. Description of operation including dates, hours, and types of goods sold.
4. Description of proposed advertising.
5. Weights and Measures Sealer Certificate (if applicable).
6. Information on all group event participants.
7. A Certificate of Liability Insurance with the City of South Bend listed as the certificate holder.
Application Process
1. Submit Application with $5.00 Processing Fee.
2. Review and report by Building Department, Code Enforcement, and Public Works, as applicable.
3. Controller Denies or Approves License.
4. License issued upon approval and payment of the license fee.

Application Type
Is this application pertaining to a new business or are you renewing your existing permit?
Business Data
Name of Event
Business Name

First NameLast Name
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is there a mailing address different from the business address?
Business Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Business Email Address
example@example.com
Indiana State Retailer License Number
Proposed location where business will be conducted
Description of building or premises to be used
Proposed dates of operation
Proposed hours of operation
Type of Goods, Wares, or Merchandise to be sold
Will scales be used in business transactions?
Upload certificate from the Sealer Weights and Measures.

Cancelof
Will food be served in ready-to-eat condition?
If you are serving food in ready-to-eat condition, you must also fill out a Restaurant license.
- If you are operating a food truck, fill out the Mobile Food Vending Vehicle license.
- If you are operating for two weeks or less, fill out the Itinerant Restaurant License.
- If you are operating for more than two weeks, fill out the Restaurant License.
Description of nature of proposed advertising
Names, addresses, and telephone numbers of all group event participants

Cancelof
Current certificate of liability insurance with the City of South Bend listed as the certificate holder

Cancelof
Contact Person

Contact person to be responsible for customer complaints and available at least sixty (60) days following last date of business
Contact's Legal Name

First NameMiddle NameLast Name
Contact's Residential Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact's Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Contact's Email
example@example.com
Personal Data
Applicant's Legal Name

First NameMiddle NameLast Name
Applicant's Residential Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Applicant Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Applicant Email
example@example.com
Applicant's Position with Business
Last Four Digits of Applicant's Social Security Number
Copy of Applicant's Driver's License or other government-issued ID

Cancelof
Applicant's Race
Applicant's Gender
Applicant's Date of Birth

MonthDayYear
Is there an owner other than the applicant?
Owner's Legal Name

First NameMiddle NameLast Name
Owner's Residential Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owner's Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Owner's Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Owner's Email
example@example.com
Last Four Digits of Owner's Social Security Number
Copy of Owner's Driver's License or other government-issued ID

Cancelof
Owner's Race
Owner's Gender
Owner's Date of Birth

MonthDayYear
Signature
I, hereby, certify and affirm that all 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 Transient Merchant license found in the City of South Bend Municipal Code, Section 4-60.
Electronic Signature

First NameLast Name
Date

MonthDayYear
Should be Empty:

License Application for - Transient Merchants

Definition:

General Instructions

Required Information and Materials

Application Process

Application Type

Business Data

Contact Person

Personal Data

Signature