ORDINANCE DOLLAR GENERAL Acct. No. 345673 -19 Permit No. 1104908
Be It Ordained by the City Council of the City of Chicago:
SECTION 1. Permission and authority are hereby given and granted to DOLLAR GENERAL, upon the terms and subject to the conditions of this ordinance to maintain and use one (1) sign(s) projecting over the public right-of-way attached to its premises known as 316 W. 103rd St
Said sign structure(s) measures as follows; along W. 103rd Street:
One (1) at twenty-six (26) feet in length, three point seven five (3.75) feet in height and fifteen (15) feet above grade level.
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) and 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 #1104908 herein granted the sum of three hundred ($300.00) per annum in advance.
A 25% penalty will be added for payments received after due date.
Authority herein given and granted for a period ot#ve"(5) years from and after Date of Passage.
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.
Alderman
Anthony Beale 9xn Ward
Page 1
3 of 4)
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PROPOSED LOCATION:
PROPOSED RIGHT SIDE ELEVATION
CHICAGO IL
318W, 103HO ST
REVISED BY:
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PROPOSED REAR ELEVATION
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PROPOSED LEFT SIDE ELEVATION
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PROPOSED FRONT ELEVATION
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DATE
11/19/2012'
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PROPOSED ELEVATIONS
(Page 2 of 3)
APPLICATION TO USE THE PUBLIC RIGHT OF WAY
APPLICANT INFORMATION
LEGAL NAME OF ENTITY: ,j?Q / t_>
3/& LO
\ STATE: X \
TITLE:
PERMIT MAILING ADDRESS CITY: £ H-1C4{&Q
E-MAiL:
CONTACT PERSON
PHONE:
BUILDING OWNER INFORMATION
NAME:
CrTY:
ZIP CODE:
ADDRESS:
FAX:
E-MAIL-
STATE:
PHONE:
USE OF THE PUBLIC WAY
1. List the proposed or existing use below and complete trie worksheet on page 3. Use only one application lor all public way use type.
TYPE
HOW MANY? i
BUILDING ADDRESS
2. Please enclose one sketch of each proposed use of the public way, which m. ips to scale the proposed use(s) and its relationship to surrounding right-of-way. AH measurements must be indicated.
The prints should also accurately depict the location of the property line and public fadlitfe.; (meters, light poles, sidewafcs).
APPLICANT CERTIFICATION
I hereby certify that all statements made as part of the application, and the attachments Iherein, are true tp the.f^est afjmf knowledge and belief.
TITLE:
N. or SOCIAL SECURITY NUMBER:
Ii
ALDERMAN'S APPROVAL
ALDERMAN'S SIGNATUR PATE: /-7-/^I
As part of this application process, you are required to notify/obtain approval from ihe Alderman in whose ward your proposed use of the public way is located.
WARD
Page 2 of 8
City of Chicago 1 Department of Business Affairs and Consumer Protection | Pubic Way Use Urtt 8l AfMmsa Business Assistance Center | City Hall. Room 800 | 121 North LaSalle Street I Chicago, Illinois n0602 «waSS irsTKnow ww.cityofchicago.org/bacp | 312.74.G0BIZ (744.6249) | 312.742.1974 (TTY)