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Para I I rnunlclpaI business license questions, contact: City of South Bend • Department of Corn munity Investment <br />227 West Jefferson Blvd • Suite 1400 5 *South Bend, Indiana 46601 •574.235.591ry Fr: 574.215,9 Z 5� <br />CAS 11 <br />LICENSE APPLICATION FOR - PUBLIC PARKING FACILITY <br />MUNICIPAL CODE SECTION - 4-39 <br />I, APPLICATION TYPE Check One: New Yes Renewal <br />II. BUSINESS DATA <br />A. Business Name: LAZ Parking �Lui, <br />B. Business Address: 126 N. Main St. <br />City. South Bend <br />_State: I M Zip: 46601 <br />C. Mailing Address (if different from above): 1 Financial Plaza, 141111 Floor <br />City: Hartford State: CT Zip: 06103 <br />D. Business Telephone Number: 860-522-7641 <br />E. Business Fax Number: <br />F. E-Mail Address: compliancemail@lazparking.com <br />G. Maximum Number of Vehicles that can be parked at facility at onetime: 500 <br />H. Total Number of Parking Spaces at facility: 500 <br />I, Hours during which vehicles may bestored: 2417 <br />H. Premises are {check one}: Leased by Applicant Owned by Applicant Yes <br />If Leased: <br />Owner's Name: <br />Owner's Business Address: <br />City: State: Zip: <br />Owner's Residential Address: <br />City: State: Zip: <br />J. Jnsurance Carrier and Amount of Liability Insurance OR Bonding Agent and Amount of Bond: <br />For Office Use Only <br />Application Filed SEP 2 6 2023 Public Works Approval <br />Application Fee Paid SEP 2 7 2073 License Fee Paid SEP <br />Sent to Dept. �P 2 7 2023 License Number <br />CITY OF SOUTH BEND, INDIANA <br />Not Approved _ BOARD OF PUBLIC WORKS <br />Reason viaa M <br />Elizabeth A. Maradik, President <br />�— v GfsJ+it� <br />Gary A. Gilot, Member <br />Pz—, 1- 7­111, <br />Murray L. Miller, Member <br />Joseph R. Molnar, Vice President <br />L <br />Briana Micou, Member <br />Attest: Theresa M. Heffner, Clerk <br />Date: November 28, 2023 <br />