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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 a 574.235.S912 - 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 />R <br />�1 ZL_ja-r/L <br />Name: I <br />Title: Q f`QS•+ 0 .� <br />Business Address: _30Z7 F-2T 1zx. <br />City: 3 !b � Lv ",q State: ImoI <br />Zip: y$c73 <br />Officers: � <br />Name #1: M(ASdl— Z �4 ct <br />Title: <br />Business Address: 3 6 2-7Z ,gym <br />City: 6 State: <br />zip:7 -j <br />Residential Address: 2 <br />City:— A 49_�t,46 State: ,M <br />Zip: <br />Name #2: <br />Title: <br />Business Address: <br />City: State• <br />Zip: <br />Residential Address: <br />City: State: <br />Zip: <br />Name #3: <br />Title: <br />Business Address: <br />City: -State: <br />Zip: <br />Residential Address: <br />City: State: <br />zip: <br />3 <br />