Laserfiche WebLink
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: 574.235.90b_—/5 O5� <br />LICENSE APPLICATION FOR - PUBLIC PARKING FACILITY <br />MUNICIPAL CODE SECTION - 4-39 <br />I. APPLICATION TYPE Check One: New Yes Renewal <br />II. BUSINESS DATA <br />A. Business Name: LAZ Parking4ndiana—,EE$ �`� WC <br />B. Business Address: 121 E Wayne St <br />City: South Bend State: IN Zip: 46601 <br />C. Mailing Address (If different from above): 1 Financial Plaza, 14th Floor <br />City: Hartford State: CT Zip: 06103 <br />D. Business Telephone Number: 860-522-7641 <br />E. Business Fax Number: <br />F. E-Mail Address: compliancemail@lazparking.com <br />G. Maximum Number of Vehicles that can be parked at facility at onetime: 500 <br />H. Total Number of Parking Spaces at facility: 500 <br />I. Hours during which vehicles may be stored: 24/7 <br />H. Premises are (check one): Leased by Applicant Owned by Applicant Yes <br />If Leased: <br />Owner's Name: <br />Owner's Business Address: <br />City: State: Zip: <br />Owner's Residential Address: <br />City: <br />Zip: <br />J. Insurance Carrier and Amount of Liability Insurance OR Bonding Agent and Amount of Bond: <br />For Office Use Only <br />Application Filed SEP 6 2093 Public Works Approval <br />Application Fee Paid 2023 License Fee Paid ti % 7 2023 <br />Sent to Dept.SEP 2 7 2023 License Number PB�'�-O0(�21� <br />CITY OF SOUTH BEND, INDIANA <br />Not Approved _ BOARD OF PUBLIC WORKS <br />Reason jajLa liol-P1 <br />Elizabeth A. Maratik, President <br />�� a_t_t_- <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />Joseph R. Molnar, Vice President <br />B`riaannaaMiiccou, Member <br />Attest: Theresa M. Heffner, Clerk <br />Date; November 28, 2023 <br />