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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 ! 574.235.5912 - F- 574.235.9021 <br />LICENSE APPLICATION FOR - PUBLIC PARKING FACILITY <br />MUNICIPAL CODE SECTION - 4-39 <br />I. APPLICATION TYPE Check One: New Renewal <br />V <br />II. BUSINESS DATA 1 g ( c <br />A. Business Name:+ k4-0.Y <br />B. Business Address: f f 71 �J ko,-EVC64 v& <br />City: �0J _R K4_ State:_--t-1'd Zip: c'u (� <br />C. Mailing Address (If different from above): <br />Citv: <br />State: <br />Zip: <br />D. Business Telephone Number: 6,71-f- 2 -3 1=�:o -3,% <br />E. Business Fax Number: r <br />F. E-Mail Address:h6LiC>e <br />G. Maximum Number of Vehicles that can be parked at facility at onetime: Inki <br />H. Total Number of Parking Spaces at facility: <br />I. Hours during which vehicles may be stored: <br />H. Premises are (check one): Leased by Applicant t Owned by Applicant X, <br />If Leased: <br />Owner's Name: <br />Owner's Business Address: <br />City: <br />Owner's Residential Address: <br />Zip: <br />City: State: ZIP; <br />J. Insurance Carrier and Amount of Liability Insurance OR Bonding Agent and Amount of Bond: <br />For Office Use Only <br />Application Filed <br />J AN 1 12024 <br />Public Works Approval <br />Application Fee Paid JAN <br />I I < <br />License Fee Paid <br />Sent to Dept. 1 <br />d N 1 1 2094 <br />License Number 6 1109, 4 - 07 <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />;aJ w, <br />�' y <br />F.li ,be[h A. Me dik, President <br />Joseph R. Molnar, Vice President <br />` Gfa <br />• Gary A. Gilol, Member <br />Bdi Mic , Member <br />Mormy E. Miller, Member Attest Theresa M. Heffner, Clerk <br />Dz . February 13, 2024 <br />