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Where do other employees park? Jo cuu., a,"+ ����g_ 40fs <br />What efforts were made to apply for applicant's parking needs? _ A) 0 LM-( Oro n1 <br />I "U) 5 tAD1va t S Ch , C, -,a %r <br />c <br />supervisor Signature <br />J I h l_oyw <br />Typed or Written Name <br />AGREEMENT <br />Ng-dOZ3 <br />Date <br />e--ZPLC es <br />I, Gj►uo(��IZ E , hereby attest and affirm that the above information is correct to <br />the best of my knowledge. I also agree to pay the City of South Bend forty-five dollars <br />($45.00) per month on the first Monday of each month, during which time I am authorized to <br />utilize the reserved parking area as approved by the Board of Public Works. A yearly renewal <br />of this application is required. <br />Applicant Signature D to <br />Typed orWritten Name <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />Joseph R. Molnar, Vice President <br />Jordan V. Gathers, Member <br />Attest: Theresa M. Heffner, Clerk <br />Date: February 14, 2023 <br />