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For all municipal business license questions, contact: City of South Bend • Department of Com munity Investment CAf2.D 227 West Jefferson Blvd • Suite 1400 5 •South Bend, Indiana 46601 • 574.235.5912 • F: 574.235.9021 Rec-. ��0�49 '3�5 q <br />LICENSE APPLICATION FOR -PUBLIC PARKING FACILITY <br />MUNICIPAL CODE SECTION -4-39 <br />I. APPLICATION TYPE Check One:New <br />II.BUSINESS DATA <br />A. Business Name: LAZ Parking Midwest LLC <br />B.Business Address: 121 E Wayne St <br />City: South Bend State: IN <br />Renewal ✓ <br />Zip: 46617 <br />c.Mailing Address {If di fferent from above): 1 Finanical Plaza, 14th Fl -Compliance <br />City: Hartford State: <br />D.Business Telephone Number: 860-5 22-7641 <br />E.Business Fax Number: <br />CT <br />F.E-Mail Address: comgliancemail@lazgarking.com <br />Zip: 06103 <br />G.Maximum Number of Vehicles that can be parked at facility at one time: 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 ,L• Owned by Applicant <br />If Leased: <br />owner's Name: City of South Bend Ownershioe <br />Owner's Business Address: 227 W Jefferson Blvd Suite 455 <br />City: South Bend State: IN Zip: <br />Owner's Residential Address: <br />City: State: Zip: <br />46204 <br />J.Insurance Carrier and Amount of Liability Insurance OR Bonding Agent and Amount of Bond: <br />�0-$�B(vl,} <br />For Office Use Only V <br />Application Filed JAN 0 b 2026 Public Works Approval <br />Application Fee Paid 9Wl 9 0 N\-/P License Fee Paid ?•�tJ�b <br />Sent to Dept. ,JAN 0 G 2020 License Number <br />Not Approved <br />Reason <br />1 <br />March 10, 2026