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For all municipal business license questions, contact: City of South Bend • Department of Community Investment p� <br />227 West Jefferson Blvd • suite 1400 S -South Bend, Indiana 46601 • 574.235.5912 �74.3778 �' 0:.7 -CO <br />LICENSE APPLICATION FOR - PUBLIC PARKING FACILITY <br />MUNICIPAL CODE SECTION -4-39 <br />I. APPLICATION TYPE Check One: New Renewal XXX <br />II. BUSINESS DATA <br />A. Business Name: MC Investments, LLC <br />B. Business Address: 117 S. William St. <br />City: South Bend <br />C. Mailing Address (If different from above): <br />City: Cleveland <br />D. Business Telephone Number: <br />E. Business Fax Number: 9-7G <br />F. E-Mail Address: <br />—State: IN <br />1428 Hamilton Ave. <br />State: OH <br />Zip: 46601 <br />Zip: 44114 <br />G. Maximum Number of Vehicles that can be parked at facility at one time: S, <br />H. Total Number of Parking Spaces at facility: T� <br />J <br />I. Hours during which vehicles may be stored: <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 />Zip: <br />Zip: <br />1. Insurance Carrier and Amount <br />ndAmount of Liability Insurance OR Bonding Agent and Amount of Bond: <br />For Office Use Only <br />Application Filed JAN 0 9 2017 Public Works A , al <br />Application Fee Paid _JAN o 9 2017 License Fee Paid <br />Sent to Dept. JAN 0 U ZU17 LicenseNumber__1%�1J%Jc <br />Not Approved <br />Reason <br />1 <br />