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��f�iC�✓rill.rr�wr��l��„I�1k�2��fJ'kJff�di/yf��Ui�l��/ilGrrU�f�rM»Atialfll�il�rn„f11�,�1f�(�A,flr��1�1^ui���11N,I�fnu�r,��GA rlbli i r � , NJiDI'6WV,11J1f07U��fiW>lI1NJVMfIJUry�'�P!t!NROtY7„K�plNft!tlfN!�Ad1�liPo1110J((Or9YlYiitl�al�r�/!(n!I!0/50Y11JY�?(I'Pi7l�?°rPl�fP�1�e71:f1�'(itlJllFtfflT�+Udi1�tlY"�YIiVJii�ll�4lJflf��6lfli�Nllw4)�1ytE�(P,'i':&fCii2 'I <br />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 • S74.235.5912 • F; 574.235.9021 <br />LICENSE APPLICATION FOR - PUBLIC PARKING FACILITY <br />MUNICIPAL CODE SECTION - 4-39 <br />I. APPLICATION TYPE Check One: New„ T getewal <br />II. BUSINESS DATA <br />A. Business Name: MEMORIAL HOSPITAL OF SOUTH BEND / BEACON HEALTH SYSTEM ZONED CBD <br />-: 707 N MICHIGAN STREE <br />T ! BARTLETTPARKI <br />B. Business Address: PARKING GARAGE <br />City SOUTH BEND State IN �p 46601 <br />C. Mailing Address (If different from above) 615 N MICHIGAN STREET ATTN: PROPERTIES ADMINISTRATION <br />SOUTH BEND <br />City .LN. ... ....... m...w. m .. Zip, 46601 <br />574-647-1472 D. Business Telephone Number: m <br />�i _ <br />E. Business Fax Number: <br />574-647-1473��.�.�.._.---. <br />OWAY <br />6 F. E-Mail Address: @ <br />SGALL BEACONHEALTHSYSTEM ORG,....m._ _ ._ .. -. . ....... .. <br />G. Maximum Number of Vehicles that can be parked at facility at onetime: 468 <br />H. Total Number of Parking Spaces at facility 4fi8, <br />I_ Hours during which vehicles may be stored: 7 DAYS ! 24 HOURS <br />H. Premises are check one): Leased b Applicant-- .� ...u.b p�- <br />( ) Y .. ---.--,Owned by Applicant X <br />If Leased: <br />Owner's Name: <br />.._.._.. ..... .......w.__ .... W <br />Owner's Business Address: <br />City. ...... -.w State Zip: <br />Owner's Residential Address: <br />City:.... State <br />J. Insurance Carrier and Amount of Liability Insurance OR Bonding Agent and Amount of Bond: <br />THE HORTON GROUP (ATTACHED) <br />® For Office Use Only <br />Application Filed <br />.... —...._ .� ..�. .........w._� Public Works Approval—— , . �.... .. _ ......._.. . <br />u i Application Fee Paid.,--.,, ------ ... _�, ._.... <br />Y License Fee Paid <br />�.......�.... <br />Sent to Dept... �..m . � _ ....�... _.mLicense Number_.._ ...�_� �.......� ....�.. _... �.�._ ._... 1 <br />Not Approved <br />Reason <br />T <br />yl nr. ..... _,mom . .............. .m .....,- <br />i <br />vrm�, i <br />4 <br />1 <br />It! aUY�Itu31,N(Aff(IA(!fG/1JIJ/�RH`I(fGt, Ul1��111J111D Y 1 � 1, <br />1( �r YIiN;Y✓T'!YI,�WrikltttU,Nl�x1't1,uG1/„�X6lIl/,IJJddI,�/d�F/llr, /fi�14w it r r iri r <br />Lc9rJb ZVI171��1trl 7GlrllY�l:Jly➢19a��d11�0/�U�JJN111��JGd�G1aG�l>7JG'klr�diN"YDl�1Vf1��,'�aIf,IJrrililE;�1'JuYd2OR�t11tiNIIIt21U1fI�AXJVPniY0i0/�a��d�)�ll%llv]�lllbVl�GYl1�7UII�I�ID/tD116tyU1�lGII6S4VU/1P41I7�lJFI�fiU�Pr�'Tf�(�I�fM�PhU"r�V",'9"II�9dIJPiY��itPIMI <br />