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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 1400 S *South Bend, Indiana 46601 - 574.235.5912 • F: 5 4.f99Aq 7�( <br />LICENSE APPLICATION FOR - PUBLIC PARKING FACILITY <br />MUNICIPAL CODE SECTION - 4-39 <br />I. APPLICATION TYPE Check One: New Renewal yes <br />II. BUSINESS DATA <br />A. Business Name: LAZ Parking Indiana, LLC f <br />B. Business Address: `fi + � e- ;f1F�M' q3� <br />City: South Bend State: IN ip• 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: 2417 <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: <br />Owner's Residential Address: <br />Zip: <br />City: State: 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 JAIL 2 5 2024 Public Works Approval <br />Application Fee Paid JAN 2 5 2024 License Fee Paid 4 <br />� Sent to Dept. N2 la 2024 License Number 2) - QI <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />Not Approved _ titia ��11 <br />Reason Elizabeth A. Maradik, President Joseph R. Molnar, Vice President <br />Gary A. Gint, Member Briana Micou, Member <br />Murray L. Miller, Member Attest: Theresa M. Heffner, Clerk <br />Date: March 12, 2024 <br />