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For all municipal business license questions, contact: City of South Bend , Department of Community Investment <br />227 West Jefferson Blvd • Suite 1400 S -South Bend, Indiana 46601 • 574.235.5912 • F: 574.235.9021 <br />LICENSE APPLICATION FOR - PUBLIC PARKING FACILITY <br />MUNICIPAL CODE SECTION - 4-39 <br />III. PERSONAL DATA A" <br />A. Applicant's Legal Name: I�IE <br />B. Residential Address: <br />City. <br />C. Residential Telephone Number: <br />D. Residential Fax Nun <br />E. Celephone Number: <br />F. Position with Busine <br />r <br />State: Zip: q. a43-1 <br />IV. OWNERSHIP <br />A. Type of ownershiq (checl< one): <br />Sole Proprietorship (If sole proprietorship, proceed to 1). <br />Partnership (If partnership, proceed to 2), <br />Corporation (If corporation, proceed to 3). <br />1. Sole Proprietor. <br />Name: 3 <br />City:Uu� <br />2. Partnership (List at least two (2) partners) <br />Name #1: <br />Residential Address: <br />City: <br />Name #2: <br />Residential Address: <br />City: <br />3. Corporation <br />Legal name of corporation: _ <br />Date and state of incorporation: <br />2 <br />State: v IQ Zip: <br />State: <br />State: <br />Zip: <br />Zip: <br />