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For all municipal business license questions, contact: City ofSouth Bend - Department of Community Investment <br />227 West efferson Blvd a Suite 1400S -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 />111. PERSONAL DATA <br />A. Applicant's Legal Name: Michael Coyne <br />B. Residential Address, 1428 Hamilton Avenue <br />city: Cleveland State: OH zip: 44114 <br />C. Residential Telephone Number.. 2168570262 <br />D. Residential Fax Number: <br />E. Cellphone Number: <br />j F. Position with Business: Manager <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 />X Corporation (if corporation, proceed to 3). <br />1. Sole Proprietor <br />Name: <br />Residential Address: <br />City: State: Zip: <br />Telephone Number: <br />2. Partnership (List at least two (2) partners) <br />Name #1: <br />Residential Address: <br />City: State: Zip: <br />Telephone Number: <br />Name #2: <br />Residential Address: <br />City: State: Zip: <br />Telephone Number: <br />3. Corporation <br />Legal name of corporation: Mary Coyne Investments LLC <br />Date and state of incorporation- 1998 Ohio <br />2 <br />.............. .. ....... .. .. .. . <br />