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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 />IV. OWNERSHIP (Continued) <br />A. Type of ownership (continued): <br />3. Corporation (continued) <br />Resident Agent: <br />Name: ANTHONY SHANE GALLOWAY <br />Title: DIRECTOR, BEACON PROPERTIES ADMINISTRATION <br />Business Address: 100 NAVARRE PLACE, SUITE 6645 <br />City: SOUTH BEND State: IN Zip: 46601 <br />Officers: <br />Name #1: LARRY TRACY <br />Title: PRESIDENT, MEMORIAL HOSPITAL OF SOUTH BEND <br />Business Address: 615 N. MICHIGAN ST. <br />City: SOUTH BEND State: IN Zip: 46601 <br />Residential Address: <br />City: State: Zip: <br />Name #2: <br />Title: <br />Business Address: <br />City. <br />Residential Address: <br />City: <br />Name #3: <br />Title: <br />Business Address: <br />City: <br />Residential Address: <br />City:- <br />3 <br />State: <br />Zip: <br />Zip: <br />State:_ .Zip: <br />State: Zip: <br />