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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 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 />V. INCLUDE COMPLETE RATE AND HOUR SCHEDULE WITH APPLICATION <br />VI. INCLUDE A CURRENT INSURANCE POLICY OR BOND <br />VII. INCLUDE $5.00 PROCESSING FEE WITH APPLICATION b� <br />Vill. AFFIRMATION <br />I, hereby, certify and affirm that all of the information I have given in this application is true and <br />accurate to the best of my knowledge. I further certify that I have in no way attempted to <br />mislead the City in this application by omitting facts known to me. I have read and understand <br />the regulations of the Public Parking Facility license found in the City of South Bend Municipal <br />Code, Section 4-39. <br />.. <br />Signature Date <br />, n+cA —f scA" e- j 5 95 . IMPA <br />ry)DA -(�- nQf)­Ci G1Q[tf1 emp ho je S <br />