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For all municipal business license questions, cantact: city of South Bentl • Department a Community Investment <br />227Wert Jefferson BIW Suite 1900 S -South Bend, Indiana 06603 190.235.5912 • F:574235.9021 <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 />VIL INCLUDE $5.00 PROCESSING FEE WITH APPLICATION <br />Vill. 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 no way 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 />de, Section 4-39. /t, �� <br />D` Ap -33 <br />lgnature Date <br />