FRANK OLIVO
Alderman, 13th Ward 6500 S. Pulaski Road - 60629 Telephone: (773) 581-8000
CITY COUNCIL
CITY OF CHICAGO
COUNCIL CHAMBER SECOND FLOOR. CITY HALL 121 NORTH LASALLE STREET
TELEPHONE: (312) 744-3076
COMMITTEE MEMBERSHIPS
AVIATION - COMMITTEES RULES and ETHICS FINANCE
LICENSE and CONSUMER PROTECTION BUDGET TRAFFIC CONTROL and SAFETY ZONING
January 4, 2011
Honorable Patrick O'Connor Chairman
Committee on Traffic Control and Safety 121 N. LaSalle Street, Room 300 Chicago, IL 60602
Dear Chairman O'Connor:
I wish to override the following application for handicapped parking signs:
6424 S. Kostner - #77866
Your assistance with this matter will be greatly appreciated. If you have any questions, please call Shari Knight at (773) 581-8000.
With kindest personal regards, I remain
Sincerely,
Frank J. Olivo Alderman, 13th Ward
MEMORANDUM FOR TRAFFIC REGULATION PROHIBITION AGAINST PARKING (Except for the Disabled) Applicant Name: KEVIN R DALY
Primary Street Address: 6424 S KOSTNER, CHICAGO, IL 60629 Location Signs to be Posted: 6424 S KOSTNER Permit Number: 77866 Hours: At all times Days: No Exceptions
ALDERMAN FRANK OLIVO, Ward 13
3
APPLICATION FOR DISABLED PARKING SIGNS PLEASE READ THE FOLLOWING CAREFULLY BEFORE COMPLETING THE FORM
77866
An'aoplication will not be considered complete unless: Ail lines ot the application have been completed in full;
A check or money order for $70.00 made payable to me City of Chicago is submitted as payment of the application fee;
Please note; The application fee shall be waived for any person holding a valid, current disabled veterans plate.
Disability must be permanent as evidenced by a copy of your valid disabled placard and/or current vehicle registration
submitted at the time of application; : Proof of residency, in the form of a copy of your drivers iicense, state identification, or utility bills are submitted at the .'. lime ol application.
:Completed application forms may be returned to: Ihe office or your alderman, any City of Chicago Department of Revenue facility, or via mail at P.O. Box 803100. Chicago. IL 60680-3100, ATTN: Disabled Permitting Section. A S25.00 maintenance lee. will be billed lo you annually. Should you have questions or concerns, please call our permit processing-division st 312-7^-PARK C7275). '
j : Diiio of Birth
; ■■!.- A:/[?i:'.:!nr Ui:-/. Name
./■ # /■/ ! S i ;
2 State Identification Number
Drivers L'ccnsc Nu,m;;er
firs; Nanio
Si L'\ V - / :/l/| | j
. ; 5. Home Adult uss {primary m-miencs)
L c;
.Ai.i-.rcss :A;h!.;ro stijrs will he posted
Fhr-ii: Numbers
Ho;i
7 ^J£\A}0J2.......l£?.......\° O ; 7 \5~3\l\l 1(p-S\l
1 B. Current Pornarienl Disabled Placard Number |
Registered to ___%£\lAhj.-JML\l _..... |
Relationship to Applicant _ a:.L£l ._.........: |
|
/ |
i j |
i S.-- Current License Plate Number |
Registered 'o ! City Sticker Mo. |
_N Relationship to Applicant |
|
/ |
, 3 |
10 Docsct'tption of Medical Condition and Disability
Alternative Parking- Please note your application xmf be domed if you nave alternative accessible off-strcot parking options.
f.ls tw»c cfr-siteei parking available at your primary-residence
- {i.e garage, car port, driveway, etc.)?
y -- -: jj YES _l NO
f<Ht ye« ans'.veigd Yes to question 11, pleasa describe:
J oarage. _J Driveway; J Car Port: '_) Oilier:
.! :.: I;>.jcKii ol!;-;raei parking accessible'''
.- iShfcs. j^jNo. Please explain: Q \fi
''.JJ
TO.......C>,
. t.t Ai'ir.Mtiw I hereby allirm thai ihe above information is true ond cor.-ect. II the Cuv ci Chicago Deportment ol Rove :>.«; detemwrs '■i■::,■-: .i|j;i|i,-,n:t litis l.-i.sely represented ono oi more o! ihe nhovc conditions, the applies1'! shal' be subieci to a line ci to! los'j V-?:*' '■■UX: ;; .- nn nif.'f. than $500, and C'lsi Mpi'wtlion shall be denied I alsc unusrstand that :: is my responsibility to noi:!y l"i':; Dacv".'i::'::si ol './ Hi'Vi:o' .ii-,v s.ijai'iocs in !lie-jv%«qa!i&fHirOvic'Cd.
11 i e«^»t»H ija t ion^iro v i c: c ct
-........-........................---------lJ-
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FOR OFFICE USE C;NLY
h FEE
-"iJ.PLACARD.- PLATE
,'J):RESiDENCY □COMPLETE