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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 14005 -South Bend, Indiana 46601 e 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: �y <br />Name: 5i-.1fco Ak <br />Title: A--:,5 f5s f a'y� <br />Business Address: Q'7 <br />City: 66 U +A& &V. " <br />Officers: <br />Name #1: <br />Title: <br />Business Address: _ <br />City: <br />Residential Address: <br />City: <br />CLS V <br />State: <br />.1 Qy, (L��(��Wd.e_1 <br />State: <br />Name #2: J O`Ve- U—(j t'k4- ' <br />State: <br />zip; <br />Zip: <br />N <br />Title: MY- <br />Business Address: (see ado o vf,-) <br />City: State: Zip: <br />Residential Address: <br />City: State: Zip: <br />Name #3: l i WA I&Y U4-0 d— <br />Title: f rt V'_S f <br />Business Address: e-e- o-(b E) V- <br />City: State: Zip: <br />Residential Address: <br />City: State: Zip: <br />A44-V <br />3 <br />