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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: / <br />Name: rVtly yf47 <br />Title: <br />Business Address: 1r� �77StS ��1 G <br />City: _ / 7 L` b State: Zip: <br />Officers <br />Name #1: �11 <br />Title: M i del, <br />Business Address: ArJ2aycr <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 />City: <br />Residential Address: <br />City: <br />3 <br />State: <br />State: <br />State: <br />State: <br />Zip: <br />Zip: <br />Zip: <br />