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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 • 574.235.5917 • r:574.235,9021 <br />LICENSE APPLICATION FOR - PUBLIC PARKING FACILITY' <br />MUNICIPAL CODE SECTION -4-39 <br />V. INCLUDE COMPLETE RATE AND HOUR SCHEDULE WITH APPLICATION <br />VI. INCLUDE A CURRENT INSURANCE POLICY OR BOND <br />VII. INCLUDE $5.00 PROCESSING FEE WITH APPLICATION <br />VIII. AFFIRMATION . <br />I, hereby, certify and affirm that all of the information I have given in this application is true and <br />accurate to the best of my knowledge. I further certify that I have in noway attempted to <br />mislead the City in this application by omitting facts known to me. I have read and understand <br />the regulations of the Public Parking Facility license found in the City of South Bend Municipal <br />Code, Section 4-39. <br />ui <br />(A14AAl- lAre"'4 _,( <br />S' nature <br />Po-&'Ck <br />4e <br />4 <br />-3 /M// -) <br />Date <br />