MEMORANDUM FOR TRAFFIC REGULATION
PROHIBITION AGAINST PARKING (Except for the Disabled) Name Applicant: CLAUDIA J WALKER
Primary Street Address: 5623 S OAKLEY AVE, CHICAGO, IL 60636 Location Signs to be Posted: 5623 S OAKLEY AVE Permit Number: 77507 Hours: At all times Days: No Exceptions
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APPLICATION FOR DISABLED PARKING SIGNS PLEASE READ THE FOLLOWING CAREFULLY BEFORE COMPLETING THE FORM
77507
An application will noi Pe consictorec compinre unless. All line;; o- \tv> jncificntion have boon camnlutcd in t.di-
A crteci- c.r mor.ay order tor S70.CC mage payvjic lo ihe City >' Cn -'-.iv. iu sci?rr«inetf at: ssymen; o.< the aoolicaxm .'««! Please note. The application lee s:*.all be v/aived lor any person Holding o val.-.i, «wm»nt tfsaWsu .cleans piaie.
Disability must be pormaneni as -avidenced 5y a copy of yen: vairi D-siiO-ed placard or'd/o; vsrvfgia rogisiratror. sup/rtf'.&c at thtr Ume of application:
Prco; ir residency, in lhe form of a sop1/ ol yo.-- Jn-y«rs lict-w. sta?-i i<i-.tf';t:a;vn, ty viilny bilit iru&miiio:! «»! t: time o! apaiication.
Completed nppiicntior. forms may ba relumed to: the oflice of your alderman, 3ny rjiiy of Chicago Department of Revenue facility, or via mall ar P.O. Box 8C3100, Chicago. IL 50680-3100, ATTN: Disabled Permitting Seclion. A S25.00 malntananco fyo will be billed to you annually. Should you have quesligns or concerns, olease call our permit procoscing division a: 312-744-PARK (7275).
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8. Current Perrnanen; Disabled Placard Number
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9. Currant license Plate Number
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10. Description or Mwiicni Condition and Disability
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Alternative Panting: Please nolo your application may be denied If you havo alternative accessible off -street parking options.
11, Is thore off-street parking available at your primary tesidonen (i.u garage, cor port, driveway, etc )?
I) YES ^NO
IS.Ii you answerod Yes to ouosuon it, ofoace describe:
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13. Is your o'f-slreol parking occerto? □ Vcs: □ No. Ploasu oxplam:
It. Aftirmaiion: I nereby affirm ttiat the above- inlormation is true And corruet. II tne City ol Chicago Department of Rovenye doir»mincs that ttio applicant has falsely rcprcacntod one or moio ol trio above conditions, the applicant shall ba uubjuci to a tint ot nul less than $100 but no more than S500, and lha application shall bo domod. I also understono that Ir is my responsibility to no'.'/y Iho Deparimom ol Rovonue of any changos in tlvj inlormation provided.
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Cily of Chicago Richard M. Daley, Mayor
December 3,2010
Department of Revenue
City Hall, Room 107A 121 North LaSalle Street
Bca Reyna-Hickcy Director
ALDERMAN JOANN THOMPSON WARD 16
5335 S WESTERN AVENUE CHICAGO. IL 60609
Chicago. Illinois 60602-1288
Dear ALDERMAN THOMPSON:
(312) 747-4747 (IRIS) (312) 744-0471 (FAX) (312) 744-297J (TTY)
The Department of Revenue recommends installation of disabled parking signs as described below. The application has been reviewed and a survey of the location has been conducted. Since the applicant has met the requirements outlined in the Municipal Code, the signs will be installed.
Iittp://www,cityofcbicj60.orfi
Provided is the name and address of the applicant, the exact location proposed for the signs, and the permit number assigned. Please introduce an ordinance to post residential disabled parking signs at the location recommended, if one has not yet been introduced.
Applicant's Name: CLAUDIA J WALKER
Applicants Address: 5623 S OAKLEY AVE
Address/Location of Signs: 5623 S OAKLEY AVE
Permit Number: 77507
Work Order Number: H10-1382
If the proposed ordinance is not passed within four months after its introduction, the permit shall be revoked and the restricted parking signs removed. Should you have any questions or require additional information, please contact our office at 312.742.7434.
Very truly yours-' \
Anthony Gambino Manager of Parking
Enclosure: Disabled Signs Application
12-21-10;03:05PM;
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City of Chicago Riehard M. Daley, Mayor
Department or Revenue
Bca Reyna-Hickcy Director
City Hall, Room I07A 121 North laSalle Street Chicago, Illinois 60602-1288 (312) 747-4747 (IRIS) (312) 744-047J (FAX) (312) 744-2975 (TTY)
December 3, 2010
CLAUDIA J WALKER 5623 S OAKLEY AVE CHICAGO, IL 60636
Dear Applicant:
The Department of Revenue has recommended installation of disabled parking signs near your residence. Based on this recommendation, the signs for your restricted parking space will be installed. However, your application must be approved by City Council. If the proposed ordinance is not passed within four months after its introduction, the permit shall be revoked and the restricted parking signs removed.
The parking permit must be renewed annually. The fee is $25.00. A renewal notice will be mailed one year from the date the signs are installed.
Please be advised that you are required to report any changes to the information provided on your original application to the City of Chicago Department of Revenue. You are also required by Cily law to notify the Department if you no longer meet the following permit qualifications:
* You must hold either a valid, current disabled veteran's state registration plate or permanent person with disability license plate, permanent parking placard or device authorized by the Illinois Vehicle Code;
* Any vehicle parked by you or for you in the designated area must bear the disabled license plate, permanent disabled parking placard or devices issued to you by the State of Illinois:
* You must continue to reside at the home address listed on the original application.
A residential disabled parking permit will be issued to you by the City of Chicago. It must be placed on the right side of the dashboard. Only qualified vehicles displaying the permit are authorized to park in your restricted parking space. The permit number must be visible from outside your vehicle. The permit will be installed at:
Address/Location of Signs: 5623 S OAKLEY AVE Permit number. 77507
Should you have any questions or require additional information, please contact the City of Chicago's Helpline at 312.742.7434.
Anthony Gambino Manager of Parking
Copy: ALDERMAN THOMPSON