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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 5 -South Bend, Indiana 46601 •574.235.5912 • F: 574.235.9021 <br />Ren.Nv &00M <br />G� 6C R(p 3,Q 1-7-M9 <br />LICENSE APPLICATION FOR - PUBLIC PARKING FACILITY <br />MUNICIPAL CODE SECTION - 4-39 <br />I. APPLICATION TYPE Check One: New <br />IL BUSINESS DATA <br />A. Business Name' L N <br />B. Business Address: ,�`A *,13 <br />City: � ,ntJl <br />C. Mailing Address (If different from above): <br />City: <br />D. Business Telephone Number: <br />E. Business Fax Number: <br />F. E-Mail Address: Ok - l C'f <br />State: <br />a--2, -. <br />Renewal <br />1vti; Zip: Lllb�) <br />-"1 <br />Zip: <br />G. Maximum Number of Vehicles that can be parked at facility atone time (95 <br />H. Total Number of Parking Spaces at facility: aA <br />I. Hours during which vehicles may be stored: -avy\ <br />H. Premises are (check one): Leased by Applicant Owned by Applicant <br />If Leased: <br />Owner's Name: <br />Owner's Business Address: <br />City: <br />Owner's Residential Address: <br />City: <br />State: <br />State: <br />J. InsZ}raSnce Carrier and Amount of Liability Insurance OR Bonding <br />For Office use Only <br />Application Filed JUL2ois �pu Iicc orks Ap <br />Application Fee Paid u 6 in4l. License Fee Pai <br />Sent to Dept. Jill 3 I,niq License Number <br />Not Approved <br />Reason <br />1 <br />Zip: <br />0 <br />and Amount of Bond: <br />Of Public Works <br />