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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�I4.23 .902 <br />50 <br />LICENSE APPLICATION FOR - PUBLIC PARKING FACILITY <br />MUNICIPAL CODE SECTION - 4-39 <br />I. APPLICATION TYPE Check One: <br />II. BUSINESS DATA <br />New Renewal X <br />A. Business Name: Episcopal Cathedral of St James <br />B. Business Address: 117 N Lafayette Blvd <br />City: South Bend State: IN <br />C. Mailing Address (If different from above): same <br />City: State: <br />D. Business Telephone Number: 5742324837 <br />E. Business Fax Number: <br />F. E-Mail Address: office@stjamessouthbend.org <br />W. 11 <br />,Zip: 46601 <br />11 <br />G. Maximum Number of Vehicles that can be parked at facility at onetime: 25 <br />H. Total Number of Parking Spaces at facility: 25 <br />I. Hours during which vehicles may be stored: open <br />H. Premises are (check one): Leased by Applicant Owned by Applicant X <br />If Leased: <br />Owner's Name: <br />Owner's Business Address; <br />City: State: Zip: <br />Owner's Residential Address: <br />City: <br />J. Insurance Carrier and Amount of Liability Insurance OR Bonding Agent and Amount of Bond: <br />Church Insurance Company of Vermont <br />WOM <br />For Office Use Only <br />Application Filed JAN 1 6 2020 Public Works Approval <br />Application Fee PaidJAN I MLicense Fee Paid <br />Sent to Dept, J License Number . <br />Zonir��- Y11111111"WI, of Pown Wall <br />/ SE <br />Not Approved N <br />Reason cvm 9 fi , <br />