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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 466019 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 />i zc�)a U i ✓` <br />Name: � � <br />Title: P(�e1 <br />Business Address: 302 el, Fo P-� d <br />City: 13 f & ►.ti} A A2 j State:Yip: <br />Officers: <br />Name #1: <br />Title: <br />Business Address: <br />City: State: Zip: <br />Residential Address: <br />City: State: Zip: <br />Name #2: <br />Title: <br />Business Address: <br />City: State: Zip: <br />Residential Address: <br />City: State: Zip: <br />Name #3: <br />Title: <br />Business Address: <br />City: <br />Residential Address: <br />City: <br />It] <br />State: Zip: <br />State: Zip: <br />