HomeMy WebLinkAboutPublic Parking Facility - MC Investment, LLC.e
For aU munlelpal
I. APPLICATION TYPE
II. BUSINESS DATA
A. Business Na
B. Business Adl
City: _
C. MailingAddl
City: CI
D. Business Teb
E. Business Fax
F. E-Mail Addre
G. Maximum N1
H. Total Numbe
I. Hours during
H. Premises are
City:
Bcen queWons,contacl: CkyofSouth Bend- Dep8rtmemofGammurdtylnvestrnent
Blvd -*utte 1400 s -South Bend, Indlana 46601- 574.235.5912 - F. $74 ss:0� 1
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APPLICATION FOR - PUBLIC PARKING FACILITY
MUNICIPAL CODE SECTION - 439
Onq: New
Renewal
s: 2]4-216 W. WavneSt.
uth Ben,o State: IN Zip:46613
(if diffe�'ent from above) 1428 Hamilton Avenue
:216-8S7-0262
nber of Vehicles that can be parked at facility atone time:
of Parking Spaces at facility: l ()—�4
hick vehicles may be stored: n/a
:heck ono): Leased by Applicant Owned by Applicant x
Name: _;
Business
State:
Zip:
Owner' Residentlal Address:
City: State: Zip:
i
J. InsuranceCa ier and Ajnount of Liability Insurance OR Banding Agent and Amount of Bond:
For Office Use Only
Application Filed UG 1 o .2016 Public Works Approval
Application Fee Paid License Fee Paid
Sent to Dept. License Number 1 6 - 773
APPROVED
Board of Public Work,,
Not Approved
Reason i c mP /I i
1
For all muNtlpal b siness Iquestions, contact: City of South Bend • Department of Cammunity investment
227 Wert eWd • ulte 24OD S •South Bend, Indiana 46601. 574.23S.5912 • F: 574.235.9021
LICEN E APPLICATION FOR - PUBLIC PARKING FACILITY
M?NICIPAL CODE SECTION - 4-39
III. PERSONAL DATA
A. Applicant's Le Name:; Michael Coyne
B. Residential A dr1ess: 1428 Hamilton Ave
City: a land i State: OH Zip: 44114
C. Residential T le/aphone Dumber: n/a
D. Residential F x Number, n
E. Cellphone Nu ber g168570262
F. Position with usiness: _ Member
IV. OWNERSHIP
A. Type of owtResi.dend#I
):
Sole Proprietorship (if sole proprietorship, proceed to 1).
Partnership (If partnership, proceed to 2).
Corporation {If corporation,- proceed to3).
1. Sol
ess:
State: Zip:
2.
at least two (2) partners)
Address:
Name #2
Residential Address:
State: Zip
State:
Legal narne of corporation: MC Investments LLC
Date andjstate of incorporation: 9/1/98 OH
f
Zip:
For all munldpal siness licensejquestions, contact: City of South Bend• Department of Community Investment
227 West OW • Sulte 14OD 5 -South Bend, indlem 46601. 574.235.5912 • F: 57413S.9021
APPLICATION FOR - PUBLIC PARKING FACILITY
MQNICIPAL CODE SECTION - 4-39
IV. OWNERSHIP (Contin ed)
A. Type of owns ship (confJinued):
3. Corp ion (co `l� tinued)
Agent:
CaVin Courtney
Bradley
ess Address: 112 W. Jefferson Blvd., Suite 300 South Bend, IN 46601
#1: i Michael Coyne
Member
ess Address: See above
State: Zip:
Address:
#2:!:
Zip:
I
State: Zip:
Address:
C'Ity: State: Zip:
Business Address:
City: State: Zip:
Residential Address:
City: State: Zip:
Porail municipalb sines license questions,Contact: city of South Bend i DepartrnentOfcommunity Investment
.
227 Westf arson Blvd • Sutte 1400S *South Send, Indian. 46601. 574.235.5912 + 0: 574223S.9021
I
LICENSE APPLICATION FOR - PUBLIC PARKING FACILITY
IUIUNICIPAL CODE SECTION - 4-39
;1 ci€x? cal i �uIR WTTH'APPLTCAc9ON
Vi: INCLitpE,.4 C RiTFTA, 7E OF LER_*JTri tKF e& OF -SOU Ff el iNI ,U F AS
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Vill. AFFIRMATION
i
1, hereby, certi land affifm that all of the Information I have given in this application -is true and
accurate to-the
of my knowledge. 1 further certify chat I have in no wayattempted to
mislead the 0 in this application by omitting facts known to me. I :have read and understand
the regulations Of the Public Parking Facility license found in the City of South Bend Municipal
Code; Section 4�39.
gnature Date
j 01 a %
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may TequIrs an endorsement A Ehamnd on INs drSlleEb don not confer rlgMs to the
Oswald Compe"
Polaris P� way
P. O. Box ra
Columbus, ON 43216.0728
James OswaldCompany House
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614.786-77i8
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Clswknd, OH 44114
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RE: 214 W Wayne St, South Bend, IN
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CERTIFICATE HOLDER
CANCELLATION
j C South BMW
1255 S Llsfayefb Blvd U1
South Bend, IN 488D1
CITYSO-
SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CMCEILEO BEFORE
AC.CORDTHE EANCE WITH Tom►@ Iro TE Cpppv NOM wlu BE DELIVERED IN
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