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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 74.235..90�1, , I �t� <br />LICENSE APPLICATION FOR - PUBLIC PARKING FACILITY <br />MUNICIPAL CODE SECTION - 4-39 <br />I. APPLICATION TYPE Check One: <br />II. BUSINESS DATA <br />New Renewal XXXXX <br />A. Business Name: LAZ Parking Midwest, LLC <br />B. Business Address: 1228 N Eddy Street <br />City: South Bend State: IN Zip: 46617 <br />C. Mailing Address (If different from above): One Financial Plaza, 14th 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: 1200 <br />H. Total Number of Parking Spaces at facility: 1200 <br />I. Hours during which vehicles may be stored: 24 Hours <br />H. Premises are (check one): Leased by ApplicantXX Owned by Applicant <br />If Leased: <br />Owner's Name: Kite Reality Street Garage <br />Owner's Business Address: 1234 N Eddy Street, Suite 115 <br />City: South Bend State: IN Zip: 46617 <br />Owner's Residential Address: <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 JAN 0 4 2024 Public Works Approval <br />Application Fee Paid JAN 0 4 2024 License Fee Paid JAN 0 d 20211 <br />Sent to Dept. JAN 0 d 9624 License Number P C3f 9-,fla, —Q_Q j <br />CITY OF SOUTH BEND, INDIANA <br />Not Approved BOARD OF PUBLIC WORKS <br />Reason jaa (4 <br />Elizabeth A. Maradik, President <br />1 <br />Gary A. Gilot, Member <br />Joseph R. Molnar, Vice President <br />Briana Micou, Member <br />p, /X <br />Murray L. Miller, Member <br />Attest Theresa M. Heffner, Clerk <br />Date: February 27, 2024 <br />