Laserfiche WebLink
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 />• : S :n11"I a�ra <br />A. Applicant's Legal Nai <br />B. Residential Address: <br />City: C ( Cya Ao State: C W Zip: U_ <br />C. Residential Telephone Number: <br />D. Residential Fax Number: <br />E. Cellphone Number: 2-0 to <br />F. Position with Business: <br />IV. OWNERSHIP <br />A. Type of ownership (check one): <br />Sole Proprietorship (If sole proprietorship, proceed to 1). <br />Partnership (If partnership, proceed to 2). <br />Corporation (If corporation, proceed to 3). <br />1. Sole Proprietor <br />Name: <br />Residential Address: <br />City: <br />Telephone Number: <br />2. Partnership (List at least two (2) partners) <br />Name #1: <br />Residential Address: <br />City: <br />Telephone Number: <br />Name #2: <br />Residential Address: <br />City:. <br />Telephone Number: <br />State: <br />State: <br />Zip: <br />In <br />State:' Zip: <br />3. Corporation Legal name of corporation: A Aj vi vI /f'���L <br />Date and state of incorporation: _ / 7 k <br />2 <br />