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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 • 2574.235.9021 <br />LICENSE APPLICATION FOR - PUBLIC PARKING FACILITY <br />MUNICIPAL CODE SECTION - 4-39 <br />IV. OWNERSHIP (Continued) <br />A. Type of ownership (continued): <br />3. Corporation (continued) <br />Resident Agent: <br />Name: \Sr�rt to <br />Title:{'— <br />Business Address: ( � a tcsl (C� rOUJCC <br />City: �Mi1 82 <br />2 J 4A- State: jky3 Zip: 46(f01' % <br />Officers: <br />Name #1: \�jj G P IVyLL,c1 ✓ , <br />Title: �.at..cy,n/ ti`i1;,✓.,h.0 <br />Business Address: �\ <br />City: ate: 10 Zip: 4(06a � <br />Residential Address: <br />City: State: Zip: <br />Name #2: <br />Title: <br />City: ;Y4` <br />Residential Address: <br />City: <br />Name #3: <br />rA <br />Title: n( 4e <br />Business Address: _ <br />City: <br />Residential Address: <br />City: <br />U <br />State: <br />( N Zip: <br />Zip: <br />State: Zip: <br />8 <br />