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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: Akr'+, <br />Officers <br />Title: <br />a H w ., .• .� <br />Business Address: 'J W. � '5)�. <br />City: Jul tt, State: Zip: A66 / <br />Name#1: ��",� ;_S <br />Title: et — <br />Business Address: <br />City: 1 r State: Q# Zip: <br />Residential Address: <br />City: G�cde(Fx�, State:_ cX rip: <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 />State: <br />Zip: <br />State: Zip: <br />State: <br />Zip: <br />Zip: <br />3 <br />Continue to page 4 <br />