CITY OF CHICAGO BACP-^vl. sRAfi" OF 3R!VII_EGE pERM.~ . . ■ ' > / }~.L~ )
APPLICANT INFORMATION
LEGAL NAME OF EN'- ' CJfllPQ/? FoanS _
PERMIT MAILING AZOfEii gqi» U3 Rfh)J>ot-PU .Sf _
CITY: QJ|/.3fc-c> STATE jT/1 ZIP: ^ofiQ1?
CONTACT PERSON: f/rTCX? StfARuJAG TITLE: (S^rt-
PHONE^q-^Zfe-^^^T =AX J3(X-S~^-a^rfe E-MAIL: UtTE^ .flHftftuuAO
PROPERTY OWNER INFORMATION
NAME: Aj£g3 fYjft/OQ rO£*1T__
ADDRESS: 2(2. aJ ^V?a3£^/Y>DaJ SotfE- I A
CITY: C)4\LCib<=>_STATE: jTl__ZIP: <fo66->_
USE OF THE PUBLIC WAY
1. List the proposed or -e< s'.ing useis below, and complete the worksheet on page 3. Use only one application for all public way use type.
TYPE_ HOW MANY? BUILDING ADDRESS_
2. Please enclose one sketch of proposed use of the public way, which maps to scale the proposed use and its relationship to surrounding right-of-way. All measurements must be indicated.
3. All "No Fee" items require a $50 application fee. Please remit with application.
4. "No Fee" items are listed ''<-> the price list on page 6.
5. The prints should also accurately depict the location of the property line and public facilities (meters, light poles, sidewalks).
APPLICANT CERTIFICATION
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: 3 H,T£>J ^///Hgu)aQ>_ TITLE: Pt& /s&U
F.E.I.N. or SOCIAL SECURITY NUMBER: J£2-29
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 is located/1
ALDERMAN'S SIGNATURE:
DATE:
d use of the public way is locate
f
V
WARD:
C H
I J4I T3 City of Chicago | Department of Business Affairs and Consumer Protection | Public Way Use Unit
" * " Rn<;inp<;<; A«ktanre> Center I ("irv Hall Room 800 I 171 North I aSallp Strppt I fhiraon Illinois fiflf
business affairs & Business Assistance Center | City Hall, Room 800 | 121 North LaSalle Street | Chicago, Illinois 60602 «wsuM»nioT£CTON www.cityofchicago.org/bacp | 312.74.GOBIZ (744.6249) | 312.742.1974 (TTY)
ORDINANCE JAIPUR
Acct. No. 329635 -1 Permit No. 1095300
Be It Ordained by the City Council of the City of Chicago:
SECTION 1. Permission and authority are hereby given and granted to JAIPUR, upon.the terms and subject to the conditions of this ordinance to maintain and use, as now constructed, one (1 )Wind Screen(s) on the public right-of-way adjacent to its premises known as 847 WRandolph St
Said Wind Screen(s) at W Randolph measure(s):
One (1) at six point five (6.5) feet in length, and four point eight three (4.83) feet in width for a total of thirty-one point four (31.4) 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 Department of Transportation (Division of Project Development).
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 #1095300 herein granted the sum of four hundred ($400.00) 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.
Alderman
Walter Burnett Jr. 27th Ward
Page 1
Windscreen Drawing
Location:
Organization name:
847 w Randolph st, Chicago IL 60607 JAIPUR
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