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For all muNtlpal b siness Iquestions, contact: City of South Bend • Department of Cammunity investment <br />227 Wert eWd • ulte 24OD S •South Bend, Indiana 46601. 574.23S.5912 • F: 574.235.9021 <br />LICEN E APPLICATION FOR - PUBLIC PARKING FACILITY <br />M?NICIPAL CODE SECTION - 4-39 <br />III. PERSONAL DATA <br />A. Applicant's Le Name:; Michael Coyne <br />B. Residential A dr1ess: 1428 Hamilton Ave <br />City: a land i State: OH Zip: 44114 <br />C. Residential T le/aphone Dumber: n/a <br />D. Residential F x Number, n <br />E. Cellphone Nu ber g168570262 <br />F. Position with usiness: _ Member <br />IV. OWNERSHIP <br />A. Type of owtResi.dend#I <br />): <br />Sole Proprietorship (if sole proprietorship, proceed to 1). <br />Partnership (If partnership, proceed to 2). <br />Corporation {If corporation,- proceed to3). <br />1. Sol <br />ess: <br />State: Zip: <br />2. <br />at least two (2) partners) <br />Address: <br />Name #2 <br />Residential Address: <br />State: Zip <br />State: <br />Legal narne of corporation: MC Investments LLC <br />Date andjstate of incorporation: 9/1/98 OH <br />f <br />Zip: <br />