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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 />V. INCLUDE COMPLETE RATE AND HOUR SCHEDULE WITH APPLICATIION <br />VI. INCLUDE A CURRENT INSURANCE POLICY OR BOND (�c��2 �� m��c <br />u�� o M— r Jq hav-5 <br />VII. INCLUDE $5.00 PROCESSING FEE WITH APPLICATION i c <br />VIII. AFFIRMATION 1� <br />I, hereby, certify and affirm that all of the information I have given in this application is true and <br />accurate to the best of my knowledge. I further certify that I have in no way attempted to <br />mislead the City in this application by omitting facts known to me. I have read and understand <br />the regulations of the Public Parking Facility license found in the City of South Bend Municipal <br />Code, Section 4-39. <br />Signature <br />4 <br />1/16/2025 <br />Date <br />