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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 14005 -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 />IV. OWNERSHIP (Continued) <br />A. Type of ownership (continued): <br />3. Corporation (continued) <br />Resident Agent: 1 <br />Name: Sfcve_v\ Ma5T <br />Title: poxl§In )4-6y .lm,5`/�YI <br />Business Address: <br />p l (7 K. LOL T 0111 <br />City: SO U TVA t"J"' State: <br />Officers: Name#1: Dr. M( <br />Title: 5C-K 8 f <br />Business Address: 11-7 <br />City: <br />Residential Address: <br />City: <br />Name #2: O <br />Title: U 'T U 11.1 Q r <br />BusinessAddrests:: - ry�`y— <br />City: St) V`CA` r U <br />Residential Address: <br />City: yAt <br />Name#3: cm 0 <br />Title: `rYPa$�tr <br />Business Address: <br />City: SO L41A lu <br />Residential Address: <br />City: <br />3 <br />Ydtv1 <br />. La fa <br />State: <br />v- . <br />Zip: <br />Zip: 0 1 <br />State: Zip: <br />State: �� Zip: 41L6 b 8 <br />State: <br />�- <br />Zip: <br />State: SN Zip:�_(�_�� <br />State: <br />Zip: <br />