CITY OF CHICAGO BACP-PWU BUNDLE PERMIT APPLICATION V.09.28.10
APPLICATION TO USE THE PUBLIC RIGHT OF WAY
| . OFFICE USE ONLY |
DOB PERMIT #: |
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AMNESTY ELIGIBLE? |
□ YES | D NO |
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APPLICANT INFORMATION ■ .
LEGAL NAME OF ENTITY: A//J? l//lV/? /A/C- PS*?
PERMIT MAILING ADDRESS: ST/ST/ V- C^/l^lC^
JL- ZIP CODE:
CITY:
STATE:
CONTACT PERSON: V/ A/Q_D PHONE. 77?~17/~ yOOp FAX:
1*-
E-MAIL ^p*rrl/i WO*/'
BUILDING OWNER INFORMATION
NAME: P/ltiSZ/L tL. CL ADDRESS: Vgfr A/. 07/£SHT^ ?Z/fUA>40 STATE:
CITY:
PHONE: 3/2- 2C2-- /frOEAX:
ZIP CODE: ^ g?^ t^7"
E-MAIL:
USE OF THE PKBL/C WA V
1. List the proposed or existing use below and complete the worksheet on page 3.
Use only one application for all public way use type. TYPE ^^HOW MANX? BUILDING ADDRESS
2. Please enclose one sketch of each proposed use of the public way, which maps to scale the proposed use(s) and its relationship to surrounding right-of-way. All measurements must be indicated.
The prints should also accurately depict the location of the property line and public facilities (meters, light poles, sidewalks).
APPLICANT CERTIFICA TION
I hereby certify that all statements made as part of the application, and the attachments herein, are true to the best of my knowledge and belief. .
BY: VlAfOPK- #t**9rtW9£ TITLE: /F^
F.E.I.N. or SOCIAL SECURITY NUMBER: 3-7- VIVJOOX ~
ALDERMAN'S APPROVAL
As part of this application process, you are required to notify/obtain approval from the Alderman in whose ward your proposed use of the public way i6/ocated.
"ALDERMAN'S SIGNATURE: ^TM,
DATE:
tt
CHIC AGO
Jp Department of Business Affairs and Consumer Protection (BACP) Business Assistance Center (BAC) iltoJT Public Way Use Unit (PWU) City Hall, Room 800 121 North LaSalle Street, Chicago, Illinois 60602 ffiSffiw www.cityofchicago.org/bacp- 312.74.GOBIZ (744.6249) 312.742.1974 (TTY)
ORDINANCE SIR SPA
Acct. No. 361060-1 Permit No. 1096465
Be It Ordained by the City Council of the City of Chicago:
SECTION 1. Permission and authority are hereby given and granted to SIR SPA, upon the terms and subject to the conditions of this ordinance to maintain and use, as now constructed, two (2) Awning(s) projecting over the public right-of-way adjacent to its premises known as 5151 N. Clark St
Said Awning(s) at N Clark St measure(s):
One (1) at twenty-one (21) feet in length, and two (2) feet in width for a total of forty-two (42) square feet. One (1) at twenty-one (21) feet in length, and two (2) feet in width for a total of forty-two (42) square feet.
The location of said privilege shall be as shown on prints kept on file with the Department of Business Affairs and Consumer Protection and the Office of the City Clerk.
Said privilege shall be constructed in accordance with plans and specifications approved by the Zoning Department -Signs.
This grant of privilege in the public way shall be subject to the provisions of Section 10-28-015 and all other required provisions of the Municipal Code of Chicago.
The grantee shall pay to the City of Chicago as compensation for the privilege #1096465 herein granted the sum of one hundred ($100.00) per annum in advance.
A 25% penalty will be added for payments received after due date.
\_
The permit holder agrees to hold the City of Chicago harmless for any damage, relocation or replacement costs associated with damage, relocation or removal of private property caused by the City performing work in the public way.
Authority herein given and granted for a period of five (5) years from and after Date of Passage.
Page 1
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