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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 14GO S *South Bend, Indiana 46601 • 574.235.5912 • F: 574.235.9D21 <br />1345 <br />LICENSE APPLICATION FOR - PUBLIC PARKING FACILITY <br />MUNICIPAL CODE SECTION - 4-39 <br />I. APPLICATION TYPE Check One: New V Renewal <br />II. BUSINESS DATA /� 11(( <br />A. Business Name., .SM A P-T I- pAM r IL <br />B. Business Address: 2-2-0 W Gv L` f zh , A j-e- <br />City:.5 fly,`U eo u� State: Zip: Q <br />C. Mailing Address (If differefrom above): po, <br />City: GL-e_ Q Lo_&j State: 0 Zip: `T 1 <br />D. Business Telephone Number: Z j Y 2 � 7 — F 1A <br />E. Business Fax Number: <br />F. E-Mail Address: .5y'1&y-ULpe r f_ 3 )3 P q MA I f' . e, 4 <br />G. Maximum Number of Vehicles that can be parked at facility at onetime: %-5— <br />H. Total Number of Parking Spaces at facility: 75— <br />I. Hours during which vehicles may be stored: 5A. i SUN 4 A Y i 5 : p yn ' m Weew, <br />H. Premises are (check one): Leased by Applicant Owned by Applicant <br />If Leased: <br />Owner's Name: P� LLC— <br />Owner's Business Address: I26 GkPStvs�� ��-5 (ccj <br />City: Eb lzT IIJAYL4 E State: , �y Zip: <br />Owner's Residential Address: C.),E5`-!n i, ��4' ��W _U <br />City: Ft7 lr-f 5tate:,7A) Irl <br />Zip: <br />J. Insurance Carrier and Amount of Liability Insurance OR Bonding Agent and Amount of Bond: <br />i� z ; v Lll <br />For Office Use Only <br />Application Filed MAY 10 M Public Works Approval <br />Application Fee Paid MAY102923 -License Fee Paid MAY 2923 <br />Sent to Dept., 2023 - License Number _ e)P&OR MP) <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />Not Approved Ia V4 <br />Reason Elizabeth A. Maradik, President Joseph R. Molnar, Vice President <br />Gary A. Gilot, Member Jordan V. Gathers, Member <br />Murray L. Miller, Member Attest: Theresa M. Heffner, Clerk <br />Date: July 25, 2023 <br />Continue to page 2 <br />