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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 />7q(A , <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 X <br />A. Business Name: LAZ Parking Midwest, LLC <br />B. Business Address: 401 E Colfax Ave <br />City: South Bend State: IN Zip: 46617 <br />C. Mailing Address (If different from above): 1 Financial Plaza, 14th FL <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: 300 <br />H. Total Number of Parking Spaces at facility: 300 <br />I. Hours during which vehicles may be stored: 2417 <br />H. Premises are (check one): Leased by ApplicantX Owned by Applicant <br />If Leased: <br />Owner's Name: <br />Owner's Business Address: <br />City: State: Zip: <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 [VIAk L !4 M F, Public Works Approval <br />Application Fee Paid— MAR 7, 4 20L License Fee Paid I I N 2 4 2Q?.5 <br />Sent to Dept. License Number F8 P- OQa'S:] 10 <br />Not Approved <br />Reason <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />ta�a <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />�PT <br />Joseph R. Molnar, Vice President <br />Brian Micou, Member <br />Aff­- Tl or TA TTofF.,o. PI.A, <br />Date: May 27, 2025 <br />