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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 />I. APPLICATION TYPE Check One. New <br />II. BUSINESS DATA <br />Renewal $5.00 Public Portal <br />A. Business Name: EPISCOPAL CATHEDRAL OF SAINT JAMES <br />B. Business Address: 117 N. LAFAYETTE BLVD. <br />City. SOUTH BEND State: IN <br />C. Mailing Address (If different from above): <br />City: State: Zip: <br />Zip: 46601 <br />D. Business Telephone Number: 574-2132-4837 <br />E. Business Fax Number: <br />F. E -Mail Address: OFF ICE@STJAMESSOUTHBEND.ORG <br />G. Maximum Number of Vehicles that can be parked at facility at onetime: 25 <br />H. Total Number of Parking Spaces atfacility: 25 <br />I. Hours during which vehicles may be stored: OPEM <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: State: <br />Zip <br />J. Insurance Carrier and Amount of Liability Insurance OR Bonding Agent and Amount of Bond: <br />BALANCE DUE = $75.00 <br />For Office Use Only <br />Application Filed JANUARY 7, 2021 Public Works Approval <br />Application Fee Paid JANUARY 7, 2021 License Fee Paid <br />Sent to Dept. JANUARY 7, 2021 License Number PBP2021-001 <br />Not Approved <br />Reason <br />1 111 '&^ A ,, L. i [,v M I 1 fir, Lv- `v ( C C> <br />-L- <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />ULL 4 <br />Elizabeth A. Maradik, President <br />Gary A. Gdot, Member <br />I- l' l <br />Josepb R. Molnar, Member <br />Jordan V. Gathers, Member <br />Member <br />Anent: Anne Fuchs, Clerk <br />