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fw"L4 -0 164, <br />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 X <br />II. BUSINESS DATA <br />A. Business Na Laz Parking Midwest, LLC <br />B. Business Ad/t�res:'' N Main St <br />City: South Bend State: IN Zip: 46601 <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: compllanCemail@lazparking.com <br />G. Maximum Number of Vehicles that can be parked at facility at onetime: 500 <br />H. Total Number of Parking Spaces at facility: 500 <br />I. Hours during which vehicles may be stored: 24/7 <br />H. Premises are (check one): Leased by Applicant X Owned by Applicant <br />If Leased: <br />Owner's Name: City of South Bend Ownership <br />Owner's Business Address: 227 W Jefferson Blvd Suite 455 <br />City: South Bend State: IN Zip: 46601 <br />Owner's Residential Address: <br />City: <br />tate: 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 J AN 1 4 2025 Public Works Approval <br />Application Fee Paid j AN 1 4 7W, License Fee Paid jell] i 4 � , 1, <br />Sent to Dept. 4 711? License Number u <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />Not Approved 2 <br />Reason <br />Elizabeth A. Maradik, President Joseph R. Molnar, Vice President <br />Gary A. Gilot, Member <br />Breana Micou, Member <br />Murray L. Miller, Member <br />Attest: Madeline Hostetler, Acting Clerk <br />Date: July 22, 2025 <br />