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tYM011dbMIMOMMa14�1W�6D!ddIMIMIIIIIIIMVI'1t� UIuMM YrdiVIf�MMIMdIIIMi �ICCMM�iNi I V;f7M;Ml'd CM21M�N�Yf9°dMNifMM M 64MMMY�V MMIIIMM P1 �°�MMifFMtlWINi+MV4M <br />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 <br />VIII. 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 fads 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 />�a. <br />8/6/2020 <br />711 <br />Signature Date <br />BOARD OF PUBLIC�R'ORKS <br />Gary A. G1.t, Pr idunt Lherese J. D. Member <br />Flip I oh A. M—dik.',1 mb, lord.. V. G.Ibu,,, Member <br />Al'I'LS'1': <br />�:;rr,;;, off'wr„ <br />Joseph IL M.1—. Member _ <br />I m& M. M.,fn, Clmlk <br />4 <br />M 4C iNv99fMIMMMiSf iGi49 2IM9WV � S4 f� t h�UMflMMIVII'WMMMM 7MIY��4TI� Il'MVid�MItlM <br />