Committee on Zoning, Landmarks, and Building Standards
ORDERED, That the Commissioner of Buildings is hereby directed to issue a sign permit to:
Midwest Sign & Lighting, Inc.
4910 W. WILSHIRE BLVD.
COUNTRY CLUB HELLS, EL 60448
For the erection of sign / signboard over 24 feet in height and / or over 100 square feet (in area of one face) at:
PRESENCE MEDICAL
9000 S, STONY ISLAND AVENUE
CHICAGO, EL 60617
Dimensions: Length 34'-3 VC Height 4'
Height above grade / roof to top of sign 11' TO BOTTOM OF SIGN FROM GRADE TOTAL SQUARE FOOT AREA 137 SQUARE FEET
Such Sign (s) shall comply with all applicable provisions of Title 17 of the Chicago Zoning Ordinance and nil other Applicable provisions of the Municipal Code of the City of Chicago Governing the construction and maintenance of outdoor signs, sign boards and
structures.
Alderman Approval
CITY Of CHICAGO 8ACP-PWU - BUNDLE PERMIT APPLICATION V.12.18.12
APPLICATION CHECKLIST (continued)
□ Acceptance Letter
ACCEPTANCE OF GRANT OF PRIVILEGE PERMIT TERMS
I hereby understand and accept the terms and conditions relative to the issuance of the parmlt, and by signing below, I acknowledge the receipt of 3 wpy of the Municipal Code of Chicago's 10-28 and 13-20 regulations, ae well as all the additional requirements promulgated herein:
: underslend ft shall be my duty as the permit holder, and as a coidfiion ol foe permit, to:
1. Comply win all Ihe requirements defined within Chicago's Municipal Code, the Rules and Regulations, as well as the requirements promulgated herein;
1 Upon the passage of Ihe permtf ordinance at City Council, pay the non-refundable applicable Grant of Privilege annual permit fee.
- Uoon Ihe submission of the permit application the applicant shall furnish (he certificate of insurance: and.
- Resolve ail Account Holds sines failure to do so will prevent the processing of this permit appircaSon;
- Install or maintain the grant of privfege after the issuance of Ihe permit by the Commissioner of Business Affairs and Consumer Protection;
I hereby agree to accept the terms and conditions relative lo issuance oi the permit.
- I agree to renew the Certificate ol Insurance at least 10 days prior lo expiration of Ihe policy.
- I understand that if Ihe item or items are not canstrucled/maintabied ihe permit fees will not be refunded.
I understand that failure to adhere to ail conditions imposed in the permit may result in revocation of the permit
&7Uyf7Ph/>7^ title tfar ftes,^
SIGNATURE: LAeS-f^^^ VVO^^fiA-^ DATE: PRINT NAME:
- ACCOUNTS: - SITEi?
" '-EGALNAMEOFErTnTV: ^j^v^
- 3USINESS NAME f DBA); ZsjsC^i^ M^//^-BUSINESS LOCATION ADDRESS: ' q OOP \SLAfsiP
CTTY: Chicago STATE: /Wtnois ZIP COPE:
- BUSINESS PHONE: - fr-.^JXC
E-MAIL PERMIT TYPE: V\)&UC- WAN
/-^jfef'si Oepartmenl of Business Affairs and Consumer Protaction (3ACPJ Business Assistance Center (BAC) \Wzi$^W^- Public Way Use Untt (PV/U) Ciiy Hall, Room S00 - 121 North LaSalle Street, Chicago, Illinois 60602 WSSk^SSSA www.crtyGfchicago.org/bacp 312.74.G08IZ (744.62^) - 312.742.1974 (TTY)
^rr OF CHICAGO - &ACP-PWU - SUJWLEPcRMrrAWtlCATlON V. 12.16 12
APPLICATION TO USE THE PUBLIC RIGHT OF WAY
APPLICANT WFQRMATfi LevSAL NAME Of ENTITY:
BUILDMGQWNER INFORMATION
- Sm-jftgju/»* "STATgr^r^- 3? CODE' ^ £//? r ^
- PHQN& &<s?~ fzjr~s-<zic?fix <&i>'<r7:p-xr<,T e-mail /7*rx-r£r7@t
L/SE OF 7W£ PUBUC WA Y
1 Lisl the proposed or Quisling use below and aemplote tho warKsniet or pass 3. Use only one aoplicauon for an public way use tvpe.
HOW MANY?
TYPE
fttfrN
EUiLDIWGADDRcSS
2. Please «nelos« fine cRotch of each proposed use si the public way. which maps tc scale ibe proposed uSe(s) and its fstewsnsfcip to surrpuno'iflg, right-of-way. All measurements musi be indicated. The prints should steo accurately depict ths location of the property line and publis facilities (meters. Ight poles, sidewalks)
oy certify inai an statements maae as p jajfl-thaaostof my knowlodgeand bell
r-S-lNL or SOCIAL SECURITY NUMBER:
APPLICANT CERTIFICATION
l hereby certify thai aJt statements made as part -of *n« application, and tsw attachment* heroin, are true Ja-ywt Host of my knowlodge and ballet.
ALDERMAN'S APPROVAL
Aa psrt of this application precise, ysu are required la notify/seer, apor^vat from trie Afd&rmsn m whose
ward your proposal use of the public way fe^ocajfta^
WARD-
/
/
□ Approve
1 Reasons):
□ Do Not Approve 1 Re3S0n(sT
3f IS
flepartrrent or Business Aiftitt sna consumer wwsrtw jcacpj eunn*j*Agamic* Ceorer OACl ^ WtrtfcViiayLVimttiPWUj- Cfty Hall, ftocm 3G0 ■ 521 t«6rth LaSalle Strtei, CMcajps, ltttars JE60I fS^/S^SA -nvw,cltyafchicaga.orj,'haep 5t2.74.GOEI? f7.i4.ti49) 112.7.0.157.; iJTfl
CITY OF CHICAGO BACP-PWU BUNDLE PERMIT APPLICATION V.12.18.12
APPLICATION TO USE THE PUBLIC RIGHT OF WAY
APPLICATION WORKSHEET
a For use by NEW APPLICANTS ONLY.
9 For renewals obtain form from City Hall, 121 N. LaSalle St., Rm. 800 or call (312) 74 - GOBI2 (744-6249)
Complete the worksheet for each use of the public way and indicate all applicable measurements.
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Exact Street (i.e. S. State St.) |
.& *-* c (0 3 O |
Length of structure along public way |
Height of structure |
Depth of structure |
Height above grade |
Total depth over public way |
Is this sign(s) 1 Illuminated? 1 (Y/N) j |
Is this an Existing Public Way Use (Y/N) |
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1Committee on Zoning, Landmarks, and Building Standards ORDERED, That the Commissioner of Buildings is hereby directed to issue a sign permit to: Midwest Sign & Lighting, Inc. 4910 W. WILSHIRE BLVD. COUNTRY CLUB HELLS, EL 60448 For the erection of sign / signboard over 24 feet in height and / or over 100 square feet (in area of one face) at: PRESENCE MEDICAL 9000 S, STONY ISLAND AVENUE CHICAGO, EL 60617 Dimensions: Length 34'-3 VC Height 4' Height above grade / roof to top of sign 11' TO BOTTOM OF SIGN FROM GRADE TOTAL SQUARE FOOT AREA 137 SQUARE FEET Such Sign (s) shall comply with all applicable provisions of Title 17 of the Chicago Zoning Ordinance and nil other Applicable provisions of the Municipal Code of the City of Chicago Governing the construction and maintenance of outdoor signs, sign boards and structures. Alderman Approval CITY Of CHICAGO 8ACP-PWU - BUNDLE PERMIT APPLICATION V.12.18.12 APPLICATION CHECKLIST (continued) □ Acceptance Letter ACCEPTANCE OF GRANT OF PRIVILEGE PERMIT TERMS I hereby understand and accept the terms and conditions relative to the issuance of the parmlt, and by signing below, I acknowledge the receipt of 3 wpy of the Municipal Code of Chicago's 10-28 and 13-20 regulations, ae well as all the additional requirements promulgated herein: : underslend ft shall be my duty as the permit holder, and as a coidfiion ol foe permit, to: 1. Comply win all Ihe requirements defined within Chicago's Municipal Code, the Rules and Regulations, as well as the requirements promulgated herein; 1 Upon the passage of Ihe permtf ordinance at City Council, pay the non-refundable applicable Grant of Privilege annual permit fee.
- Uoon Ihe submission of the permit application the applicant shall furnish (he certificate of insurance: and.
- Resolve ail Account Holds sines failure to do so will prevent the processing of this permit appircaSon;
- Install or maintain the grant of privfege after the issuance of Ihe permit by the Commissioner of Business Affairs and Consumer Protection;
I hereby agree to accept the terms and conditions relative lo issuance oi the permit.
- I agree to renew the Certificate ol Insurance at least 10 days prior lo expiration of Ihe policy.
- I understand that if Ihe item or items are not canstrucled/maintabied ihe permit fees will not be refunded.
I understand that failure to adhere to ail conditions imposed in the permit may result in revocation of the permit &7Uyf7Ph/>7^ title tfar ftes,^ SIGNATURE: LAeS-f^^^ VVO^^fiA-^ DATE: PRINT NAME: - ACCOUNTS: - SITEi? " '-EGALNAMEOFErTnTV: ^j^v^
- 3USINESS NAME f DBA); ZsjsC^i^ M^//^-BUSINESS LOCATION ADDRESS: ' q OOP \SLAfsiP
CTTY: Chicago STATE: /Wtnois ZIP COPE:
- BUSINESS PHONE: - fr-.^JXC
E-MAIL PERMIT TYPE: V\)&UC- WAN /-^jfef'si Oepartmenl of Business Affairs and Consumer Protaction (3ACPJ Business Assistance Center (BAC) \Wzi$^W^- Public Way Use Untt (PV/U) Ciiy Hall, Room S00 - 121 North LaSalle Street, Chicago, Illinois 60602 WSSk^SSSA www.crtyGfchicago.org/bacp 312.74.G08IZ (744.62^) - 312.742.1974 (TTY) ^rr OF CHICAGO - &ACP-PWU - SUJWLEPcRMrrAWtlCATlON V. 12.16 12 APPLICATION TO USE THE PUBLIC RIGHT OF WAY APPLICANT WFQRMATfi LevSAL NAME Of ENTITY: BUILDMGQWNER INFORMATION
- Sm-jftgju/»* "STATgr^r^- 3? CODE' ^ £//? r ^
- PHQN& &<s?~ fzjr~s-<zic?fix <&i>'<r7:p-xr<,T e-mail /7*rx-r£r7@t
L/SE OF 7W£ PUBUC WA Y 1 Lisl the proposed or Quisling use below and aemplote tho warKsniet or pass 3. Use only one aoplicauon for an public way use tvpe. HOW MANY? TYPE fttfrN EUiLDIWGADDRcSS 2. Please «nelos« fine cRotch of each proposed use si the public way. which maps tc scale ibe proposed uSe(s) and its fstewsnsfcip to surrpuno'iflg, right-of-way. All measurements musi be indicated. The prints should steo accurately depict ths location of the property line and publis facilities (meters. Ight poles, sidewalks) oy certify inai an statements maae as p jajfl-thaaostof my knowlodgeand bell r-S-lNL or SOCIAL SECURITY NUMBER: APPLICANT CERTIFICATION l hereby certify thai aJt statements made as part -of *n« application, and tsw attachment* heroin, are true Ja-ywt Host of my knowlodge and ballet. ALDERMAN'S APPROVAL Aa psrt of this application precise, ysu are required la notify/seer, apor^vat from trie Afd&rmsn m whose ward your proposal use of the public way fe^ocajfta^ WARD- / / □ Approve 1 Reasons): □ Do Not Approve 1 Re3S0n(sT 3f IS flepartrrent or Business Aiftitt sna consumer wwsrtw jcacpj eunn*j*Agamic* Ceorer OACl ^ WtrtfcViiayLVimttiPWUj- Cfty Hall, ftocm 3G0 ■ 521 t«6rth LaSalle Strtei, CMcajps, ltttars JE60I fS^/S^SA -nvw,cltyafchicaga.orj,'haep 5t2.74.GOEI? f7.i4.ti49) 112.7.0.157.; iJTfl CITY OF CHICAGO BACP-PWU BUNDLE PERMIT APPLICATION V.12.18.12 APPLICATION TO USE THE PUBLIC RIGHT OF WAY APPLICATION WORKSHEET a For use by NEW APPLICANTS ONLY. 9 For renewals obtain form from City Hall, 121 N. LaSalle St., Rm. 800 or call (312) 74 - GOBI2 (744-6249) Complete the worksheet for each use of the public way and indicate all applicable measurements. Exact Street (i.e. S. State St.).& *-* c (0 3 OLength of structure along public wayHeight of structureDepth of structureHeight above gradeTotal depth over public wayIs this sign(s) 1 Illuminated? 1 (Y/N) jIs this an Existing Public Way Use (Y/N)iii 2 '© COctoo .^ms> v 1i1/(/»" «i o z ;z £ .< |
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1Committee on Zoning, Landmarks, and Building Standards ORDERED, That the Commissioner of Buildings is hereby directed to issue a sign permit to: Midwest Sign & Lighting, Inc. 4910 W. WILSHIRE BLVD. COUNTRY CLUB HELLS, EL 60448 For the erection of sign / signboard over 24 feet in height and / or over 100 square feet (in area of one face) at: PRESENCE MEDICAL 9000 S, STONY ISLAND AVENUE CHICAGO, EL 60617 Dimensions: Length 34'-3 VC Height 4' Height above grade / roof to top of sign 11' TO BOTTOM OF SIGN FROM GRADE TOTAL SQUARE FOOT AREA 137 SQUARE FEET Such Sign (s) shall comply with all applicable provisions of Title 17 of the Chicago Zoning Ordinance and nil other Applicable provisions of the Municipal Code of the City of Chicago Governing the construction and maintenance of outdoor signs, sign boards and structures. Alderman Approval CITY Of CHICAGO 8ACP-PWU - BUNDLE PERMIT APPLICATION V.12.18.12 APPLICATION CHECKLIST (continued) □ Acceptance Letter ACCEPTANCE OF GRANT OF PRIVILEGE PERMIT TERMS I hereby understand and accept the terms and conditions relative to the issuance of the parmlt, and by signing below, I acknowledge the receipt of 3 wpy of the Municipal Code of Chicago's 10-28 and 13-20 regulations, ae well as all the additional requirements promulgated herein: : underslend ft shall be my duty as the permit holder, and as a coidfiion ol foe permit, to: 1. Comply win all Ihe requirements defined within Chicago's Municipal Code, the Rules and Regulations, as well as the requirements promulgated herein; 1 Upon the passage of Ihe permtf ordinance at City Council, pay the non-refundable applicable Grant of Privilege annual permit fee.
- Uoon Ihe submission of the permit application the applicant shall furnish (he certificate of insurance: and.
- Resolve ail Account Holds sines failure to do so will prevent the processing of this permit appircaSon;
- Install or maintain the grant of privfege after the issuance of Ihe permit by the Commissioner of Business Affairs and Consumer Protection;
I hereby agree to accept the terms and conditions relative lo issuance oi the permit.
- I agree to renew the Certificate ol Insurance at least 10 days prior lo expiration of Ihe policy.
- I understand that if Ihe item or items are not canstrucled/maintabied ihe permit fees will not be refunded.
I understand that failure to adhere to ail conditions imposed in the permit may result in revocation of the permit &7Uyf7Ph/>7^ title tfar ftes,^ SIGNATURE: LAeS-f^^^ VVO^^fiA-^ DATE: PRINT NAME: - ACCOUNTS: - SITEi? " '-EGALNAMEOFErTnTV: ^j^v^
- 3USINESS NAME f DBA); ZsjsC^i^ M^//^-BUSINESS LOCATION ADDRESS: ' q OOP \SLAfsiP
CTTY: Chicago STATE: /Wtnois ZIP COPE:
- BUSINESS PHONE: - fr-.^JXC
E-MAIL PERMIT TYPE: V\)&UC- WAN /-^jfef'si Oepartmenl of Business Affairs and Consumer Protaction (3ACPJ Business Assistance Center (BAC) \Wzi$^W^- Public Way Use Untt (PV/U) Ciiy Hall, Room S00 - 121 North LaSalle Street, Chicago, Illinois 60602 WSSk^SSSA www.crtyGfchicago.org/bacp 312.74.G08IZ (744.62^) - 312.742.1974 (TTY) ^rr OF CHICAGO - &ACP-PWU - SUJWLEPcRMrrAWtlCATlON V. 12.16 12 APPLICATION TO USE THE PUBLIC RIGHT OF WAY APPLICANT WFQRMATfi LevSAL NAME Of ENTITY: BUILDMGQWNER INFORMATION
- Sm-jftgju/»* "STATgr^r^- 3? CODE' ^ £//? r ^
- PHQN& &<s?~ fzjr~s-<zic?fix <&i>'<r7:p-xr<,T e-mail /7*rx-r£r7@t
L/SE OF 7W£ PUBUC WA Y 1 Lisl the proposed or Quisling use below and aemplote tho warKsniet or pass 3. Use only one aoplicauon for an public way use tvpe. HOW MANY? TYPE fttfrN EUiLDIWGADDRcSS 2. Please «nelos« fine cRotch of each proposed use si the public way. which maps tc scale ibe proposed uSe(s) and its fstewsnsfcip to surrpuno'iflg, right-of-way. All measurements musi be indicated. The prints should steo accurately depict ths location of the property line and publis facilities (meters. Ight poles, sidewalks) oy certify inai an statements maae as p jajfl-thaaostof my knowlodgeand bell r-S-lNL or SOCIAL SECURITY NUMBER: APPLICANT CERTIFICATION l hereby certify thai aJt statements made as part -of *n« application, and tsw attachment* heroin, are true Ja-ywt Host of my knowlodge and ballet. ALDERMAN'S APPROVAL Aa psrt of this application precise, ysu are required la notify/seer, apor^vat from trie Afd&rmsn m whose ward your proposal use of the public way fe^ocajfta^ WARD- / / □ Approve 1 Reasons): □ Do Not Approve 1 Re3S0n(sT 3f IS flepartrrent or Business Aiftitt sna consumer wwsrtw jcacpj eunn*j*Agamic* Ceorer OACl ^ WtrtfcViiayLVimttiPWUj- Cfty Hall, ftocm 3G0 ■ 521 t«6rth LaSalle Strtei, CMcajps, ltttars JE60I fS^/S^SA -nvw,cltyafchicaga.orj,'haep 5t2.74.GOEI? f7.i4.ti49) 112.7.0.157.; iJTfl CITY OF CHICAGO BACP-PWU BUNDLE PERMIT APPLICATION V.12.18.12 APPLICATION TO USE THE PUBLIC RIGHT OF WAY APPLICATION WORKSHEET a For use by NEW APPLICANTS ONLY. 9 For renewals obtain form from City Hall, 121 N. LaSalle St., Rm. 800 or call (312) 74 - GOBI2 (744-6249) Complete the worksheet for each use of the public way and indicate all applicable measurements. Exact Street (i.e. S. State St.).& *-* c (0 3 OLength of structure along public wayHeight of structureDepth of structureHeight above gradeTotal depth over public wayIs this sign(s) 1 Illuminated? 1 (Y/N) jIs this an Existing Public Way Use (Y/N)iii 2 '© COctoo .^ms> v 1i1/(/»" «i o z ;z £ .< CO UJ 51 :© |
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See example of required plans beginning on the next page.
NOTE: Pursuant to section 2-154-030 of the Municipal Code of the City of Chicago the Corporation Counsel of the City of Chicago may require any such additional information from any applicant to achieve full disclosure relevant to the request for action by the City Council or other city agency. Pursuant to section 2-154-020 of the Municipal code of the City of Chicago any material change in the information required above must be provided by supplementing this statement at any time up to the time the City Council or any city agency takes action on the application.
CHICAGO
Department of Business Affairs and Consumer Protection (BACP) Business Assistance Center (BAC) Public Way Use Unit (PWU) City Hall, Room 800 121 North LaSalle Street, Chicago, Illinois 60602
CITY OF CHICAGO BACP-PWU BUNDLE PERMIT APPLICATION V.12.18.12
APPLICATION TO USE THE PUBLIC RIGHT OF WAY
EXAMPLE OF SIGN DRAWING
Department of Business Affairs and Consumer Protection (BACP) Business Assistance Center (BAC) Public Way Use Unit (PWU) - City Hall, Room 800 121 North LaSalle Street, Chicago, Illinois 60602 wiawEa Amwa* www.cityofchicago.org/bacp 312.74.GOBIZ (744.6249) 312.742.1974 (TTY)
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