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Where do other employees park? <br />What efforts were made to apply for applicant's parking needs? <br />ig <br />i Qit )A__9D x/ <br />Typed or Written Name <br />AGREEMENT <br />/� <br />Date <br />I, / )14 S , hereby attest and affirm that the above information is correct to <br />th6 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 />pplicant Signature Date <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 />po,�, .4 ,yam, <br />Murray L. Miller, Member <br />Joseph R. Molnar, Vice President <br />UkLv� 64� <br />Alexandra Dolz-Lane, Member <br />Attest: Theresa M. Heffner, Clerk <br />Date: October 10, 2023 <br />