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WM <br />For all municipal business license questions, contact: City of South Bend • Department of Community Investment <br />227 West J effe rso n Blvd • Suite 1400 S •South Bend, Indiana 46601 • 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: ((�� <br />Name: I Zwa vl <br />I� (� <br />Title: 1' r4S4 �-b <br />Business Address: <br />City: G l -e'u �L <br />V I`Y,\IL, <br />7,30 LAJ. t 9_z'k (kv),,.� 7- <br />-State: n/� Zip: V L//// <br />Officers: M / /' <br />Name #1: ` �� ��l t-1 �Qe4 <br />Title:_ "ery)fo (' v <br />Business Address: 3 02­76 Fe r�- <br />city: State: /-I—T— Zip: Y 31 73 <br />Residential Address: Z Ueli �'6�lA '� 3 <br />City:n <br />_ ��.r,6mya d,kh�- stater Zip: qJ7 <br />Name #2: <br />Title: <br />Business Address: <br />Citv: <br />Residential Address: <br />City: <br />Name #3: <br />Title: <br />Business Address: <br />Citv: <br />Residential Address: <br />City: <br />3 <br />State: <br />State: <br />State: <br />Zip: <br />P: <br />Zip: <br />