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For all mounts business license questions, centan: City of south Bend • Detainment of Community Investment <br />227 West Jefferson red! • Suite 1400 5 -South Bend, Indiana 46601 •574.235.5912 • F: 574.235.9021 <br />LICENSE APPLICATION FOR - PUBLIC PARKING FACILITY <br />MUNICIPAL CODE SECTION - 4-39 <br />III. PERSONAL DATA <br />A. Applicant's Legal Name: Alan Lazowski <br />B. Residential Address: 170 Scarborough St <br />ritu. Hartford cta+o. CT 06105 <br />C. Residential Telephone Number: 860-522-7641 <br />D. Residential Fax Number: <br />E. Cellphone Number: <br />F. Position with Business: t <br />IV. OWNERSHIP <br />A. Type of ownership (check one): <br />Sole Proprietorship (If sole proprietorship, proceed to 1). <br />Partnership (if partnership, proceed to2). <br />Yes Corporation (If corporation, proceed to 3). <br />1. Sale Proprietor <br />Name: <br />Residential Address: <br />City: <br />Telephone Number: <br />2. Partnership (List at leasttwo (2) partners) <br />Name q1: <br />Residential Address: <br />City: <br />Telephone Number: <br />Name N2: <br />Residential Address: <br />City? <br />Telephone Number: <br />3. Corporation <br />Legal name of corporation: LAZ Parking Indiana, LLC <br />Date and state of incorooration; <br />