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For all municipal business license questions, Contact: otV of South Bend °o��m���mm�w/��mc� <br />azvWe^�m��nmw~swe1wms�vv�e�*/"mana*s�z~sr4.aas,ss1u~ps^`ass90o1 <br />LICENSE APPLICATION FOR -PUBLIC PARKING FACILITY <br />MUNICIPAL CODE SECTION -4-39 <br />Ill. PERSONAL DATA <br />IV. OWNERSHIP <br />A.Type ofownership (check woe): <br />Sole Proprietorship (if sole proprietorship, proceed 1u1). <br />Partnership (if partnership, proceedtoZ). <br />x <br />Corporation (if corporation, proceed to3). <br />1. Sole Proprietor <br />Name:_-_.,-_____ <br />Residential Address: <br />Telephone Number: <br />2.Partnership (List at least two (2)partners) <br />mume#1: <br />Residential Address: <br />city <br />Telephone Number: <br />Namn#2:______ <br />Residential Address. <br />Telephone Number: <br />State: <br />State: <br />l[orpongion <br />Legal name ofcorporation: MEMORIAL HOSPITAL OFSOUTH BEND, INC. <br />Date and state ofincorporation: _DCTOBER31' 1985 <br />2 <br />