Self-Service Laundries Permit Application

License Application for - Self-Service Laundries

MUNICIPAL CODE SECTION – 4-34
South Bend 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. 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. 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.

Application Type
Is this application pertaining to a new business or are you renewing your existing permit?*

New PermitRenew Permit
Business Data
Business Name*
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is there a Mailing Address different from the Business Address

YesNo
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
Zoning of Proposed Business Location
Find the kind of zoning your location is in using the City of South Bend Zoning Map

Machines Available for Use by Patrons

Rows	Quantity
Washers
Dryers
Washer/Dryer Combinations
Dry Cleaning Machines

Total number of machines available for use by patrons
Personal Data
Applicant's Legal Name*

First NameMiddle NameLast Name
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
Position with Business*
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 Self-Service Laundries license found in the City of South Bend Municipal Code, Section 4-34
Electronic Signature*

First NameLast Name
Date*

MonthDayYear
Should be Empty:

License Application for - Self-Service Laundries

Definition:

General Instructions

Application Process

Application Type

Business Data

Personal Data

Signature