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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 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 />IV. OWNERSHIP (Continued) <br />A. Type of ownership (continued): <br />3. Corporation (continued) <br />Resident Agent: _nn / �j�f <br />Name: t 7 C $�` Af <br />Title: t� <br />Businesss�--Addr/esss: (!_,'a / <br />City: % t' 1 V , 0 State: Zip: <br />Officers <br />Name#1: l° I(ti' ( ! AlAl>✓ <br />Title: M ["M/' 1c- <br />Business Address: `7 Lair �IUti�/ <br />City: State: Zip: <br />Residential Address: <br />City: State: Zip: <br />Name #2: <br />Title: <br />Business Address: <br />City: <br />Residential Address: <br />City: <br />Name #3: <br />Title: <br />Business Address: <br />Citv: <br />Residential Address: <br />City: <br />3 <br />State: <br />State: <br />State: <br />State: <br />Zip: <br />Zip: <br />Zip: <br />Zip: <br />0 <br />