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Public Parking Facility - Beacon Health Systems
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Public Parking Facility - Beacon Health Systems
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Last modified
4/3/2025 1:38:51 PM
Creation date
3/14/2018 9:36:15 AM
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Board of Public Works
Document Type
Permit Applications
Document Date
2/27/2018
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t <br />For all municipal business license questions, contact; City of South Bend -Department of Community Investment <br />777 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 <br />A. Applicant's Legal Name: <br />B. Residential Address: <br />City: <br />C. Residential Telephone Number: <br />D. Residential Fax Number: <br />F. Cellphone Number: <br />F. Position with Business: <br />State: <br />IV. OWNERSHIP <br />A. Type of ownership (check 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 />I. Sole Proprietor <br />Name: <br />Residential Address: <br />City: State: <br />Telephone Number: <br />2. Partnership (List at least two (2) partners) <br />Name ttl: <br />Residential Address: <br />City: <br />Telephone Number: <br />Name#2: <br />Residential Address: <br />Citv: <br />Telephone Number:_ <br />0 <br />State: Zip: <br />State: ZIP: <br />3. Corporation s�, l � <br />Legal name of corporation: , r CxN)CIl <br />Date and state of incorporation: <br />01 <br />
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