MEMORANDUM FOR TRAFFIC REGULATION
PROHIBITION AGAINST PARKING (Except for the Disabled)
Name Applicant: MELBA J MCCREA Primary Street Address: 5657 S MAY, CHICAGO. IL 60621 Location Signs to be Posted: 5657 S MAY Permit Number: 76123 Hours: At all times Days: No Exceptions
ALDERMAN JOANN THOMPSON, Ward 16
12-21-10;03:05PM;
7734343689
# 7/
APPLICATION FOR DISABLED PARKING SIGNS PLEASE READ THE FOLLOWING CAREFULLY BEFORE COMPLETING THE FORM
76123
An application will not be considered complete unless: All lines o! Nip application have been complotecl in iut
A chask or money order tor S70 00 made payable: to the City ol Chicago iu submitted as payrr.ant in* apf.iicotion too; Please note: The application lee shall be waived ior an/ person holding a valid, currant disaoioc veierans plate.
Disability must De permanent as evidenced by a copy of your valid disabled placard and/or current vehicle WQlsmiian submitted at Iho time ol application;
Proof of residency, m the form of a cop\ a: you' driver?, 'icenss, state identification, or uliiity bi'fr are submitted s- lhe tim& of application.
Completeo applicsnon lorms may be returned to: the o'lice nf your nldsrmor:. any City ol Chicago DeoartrTwni n! Revenue facility, or via malt at P.O. Box 803100, Chicago. IL 60680-3100, ATTN: Dlsntiieo Permitting Secno.i. A S25.00 maiinonarice ten will bo billed to you annually. Should you have questions or concerns, please call our permit processing division at 3*2-744-PARK (7275).
i. Da:»: ot 3ir:n uo __
[ 2 State Idenn'licaiion NumDe.-
3. Drivers Licence Number
4. Applicant Last Nnme
Firai Name
rr)\£\L\b\n\
5. Home Adorosij (primary roudonco) srurf- kumoei
islets'17
| OI». I STHftT IMHi
6. Address wnarrj signs will bo postod
........i.......L..1.....1....J.....1......i....LI
\s\b\is\i\?xm*\if\ ill!!
'!. Phono Numbers Home
_in !3T7 la 17 Tff|<? |6" ; y
U. Currant Permanon: Disabled PiHCard Number i
»i' «?d:
Business
Rsp.'stnrod to
9 Current Liconso Plow Number
Relationship to Aypiicant
-----1
Rogist<.vod lo City Slicker No.
Roliilionuln^ tw A^oicin'.
lO.Desicnption ot Modicai Condition ond Disability I Altomaiive Parking: Pluase note your application may be deniod if you hiivo alternative accessible olf-stfeo*. parking opiiwi.''.
r
11. Is there orf-stroet parking avaiiublo at your primary res*donee (i.e., garage, cor port, driveway. cie.)V_
□ YES JQ NO
1? if you answerad Vos to question 11 please dose.-ibK
□ Gnrnpo: □ DrivOway; □ Car Port; J Olhor
13 Is your oll-atrool parking accessim*? Q Vos: □ No Ploasc explain
14. Affirmation; l tio'oby alfirm ihal the obovo information is truo and correct. U tlw C<iy Ot Chicago Department ol Revonue datermirios thai the applicant has falsely represented ono or moro ol tho above conditions, lhe applicant shall be subject to a line ol not (ass than £100 but no more Inan tSOO, ond the application shall bo donioc i also understand thot H ts my responsibility to notify the Department ot fiovonuo ol any changes in the information provided.
Sianaturo
.^ik.............^m_c^-
______________
Date
□ COMPLETE ,.«n>i
POR OPFICE US^O/ILY
21 PLACARD/PLATE Q RESIDENCY
"> 12-21 -10;03:05PM;
;7734343669
#6/9
City of Chicago Richard M. Daley, Mayor
Department of Reremic
Bea Reyna-Hickey Director
City Hill, Room I07A 121 North LaSalle Street Chicago, Illinois 60602-1288 (312) 747-4747 (IRIS) (312) 744-0471 (FAX) (312) 744-2975 (TTY)
December 3,2010
ALDERMAN JOANN THOMPSON WARD 16
5335 S WESTERN AVENUE CHICAGO, IL 60609
Dear ALDERMAN THOMPSON:
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.
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: MELBA J MCCREA
Applicant's Address: 5657 S MAY
Address/Location of Signs: 5657 S MAY
Permit Number: 76123
Work Order Number: H10-1387
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 guestions or require additional information, please contact our office at 312.742.7434.
Very truly yours,
Anthony Gambino Manager of Parking
Enclosure: Disabled Signs Application
;77343438e9
#8/9
City of Chicago Richard M. Daley, Mayor
Department of Revenue
Bea Reyna-Hickey Director
City Hall, Room 107A 121 North LaSalle Street Chicago, Illinois 60602-1288 (312) 747-4747 (IRIS) (312) 744-0471 (FAX) (312) 744-2975 (TTY)
December 3, 2010
MELBAJMCCREA 5657 S MAY CHICAGO, IL 60621
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 City 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: 5657 S MAY Permit number 76123
Should you have any questions or require additional information, please contact the City of Chicago's Helpline at 312.742.7434.
/ery truly yours.
Anthwfy Gambino Manager of Parking
Copy: ALDERMAN THOMPSON