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For all municipal business license questions, contact: CRy of scum Bend • department of communWr Imestmem <br />222 WesUefferson Blud • Suite 14005 •Sound Bend, Indiana 46601 • 94.285.591E • F: 574.BS,9021 <br />LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT <br />MUNICIPAL CODE SECTION - 4-35 <br />Ill. OWNERSHIP <br />A. Type of ownership (check one): <br />)( Sole Proprietorship (If sole proprietorship, proceed to 1). <br />Partnership (If partnership, proceed to 2). <br />Corporation (If corporation, proceed to 3), <br />1. Sole Proprietor <br />Name --hill J St2.n/UJendell CAelaDn <br />Residential Address: ILFCIS 11GA)pG/i. <br />City: AA!&& Q(LJCLko State: Iltf zip:t�cV�.r <br />2. Partnership (List at least two (2) partners) <br />Name #1: <br />Residential Address: <br />City: State; Zip: <br />Name #2: <br />Residential Address: <br />3. Corporation <br />Legal name ofcorporation: <br />Date and state of incorporation: <br />List officers and directors who own 15%or more of stock: <br />Residential Address: <br />Name <br />