Committee on Traffic Control and Safety January 13, 2011 Council Meeting
MEMORANDUM FOR TRAFFIC REGULATION Prohibition Against Parking (Except for the Disabled)
Applicant Name: Wilbert S. Peterson
Primary Street Address: 5407 North Bernard Street, Chicago, IL 60625 Location Signs to be Posted: 5407 North Bernard Street Permit Number: 76998 Hours: At all times Days: No exceptions
MARGARET LAURINO Alderman, 39th Ward
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APPLICATION FOR DISABLED PARKING SIGNS PLEASE READ THE FOLLOWING CAREFULLY BEFORE COMPLETING THE FORM
PAGE 02/83
76998
An apphcalion will not be considered complete unless.
All lines of the application nave been completed in full,
A check or money order for S70.00 made payable to the City of Chicago is submitted as payment of the application fee; Please note: The appiicalion fee shall be waived for any person holding a valid, current disabled veterans plate.
Disability must be permanent as evidenced by a copy of your valid disabled placard and/or current vehicle registration submitted at the time of application;
Proof of residency, in the form of a copy of your drivers license, state identification, or utility bills are submitted at the time of application.
Completed application forms may be returned to: the oti^otyQ)i¥^&ifoht:&fty~ City of Chicago Department of Revenue facility, or via mall at P.O. Box 803100, Chicago, IL eoeB^aiO&iWniMcpisiWed'-Pdrniitting Section. A $25.00 maintenance fee will be billed to you annually. Should you have questions or concerns, please call our permit processing division at 312-744-PARK (7275).
1. Date of Birth
MO _ DAY _ vg»H
/ I / 1 Q 1 fe I 2. I h
2. State Identification Number.
A. Applicant Last Name
PlElTfElfrlSlOlMI
3. Drivers License Number
P!3 I* \2 }S |q|7!2|fe|3i/ \6
Ml 1 First Name
L ISIF5 |*|T
5. Home Address (primary residence)
STREET NUMBER DIR. STREET NAME
I ZIP CODE
BlElKNlAlRlP
6. Address where signs will be posted
STREET NUMBER CHP. STREET NAME
5|4-|G|7I W
, WARD NUMBEn
E>1E|R|^1A|R IP
1_L
3i9
7. PhonE Numbers
Home
7 I7 I 3 14 17 IS I 2 14
B. Current Permanent Disabled Placard Number
915
Business
Registered lo
Relationship to Applicant
9. Current License Plate Number
Handicap 2 bo 3? 2
Registered to Pg.r£g3QW
City Sticker No.
Relationship to Applicant W t -js iL
0 ^ER;
10 Description of Medical Condition and Disability Htj'5 BA fV O /or/M£?. ASeVt- OSTisO AXrMZlTlS
Alternative Parking: Please note your application may be denied il you have alternative accessible off-street parking options.
11. Is there ojf-str&et parking available at your primary residence (L^-r^arajgu-car port, driveway, etc.)?
I1W
12.11 you answered Yes to question 11, please describe: A^-t, l<$ f\f All hi OT r £t- hi~T o p g^Garage: □ Driveway, □ Car Port; □ Other: pjR, A 5 TZ£ S? O i « £. D_
13.1s your off-street parking accessible'' y^\F£. W'lVH A L"LH£/t/|dR'S J?I5£a£S I"? P/C'Kg'O L!-P Q Yes; #No. Please explain: Bn0 PKo-i4T I" tiO OSS. 3Y ALT. HE I f»\fCAKE
ctNTE-fe,. $H£ N£"{>.s vVAuwex E El. c hmR. ■-<?> /VSp y£.-7c <5£t to BUS'
14, TWirmation: rhcreby affirm thai the above information 1$ true and correct. If the City of Chicago Depanment of Revenue determines that the applicant has falsely represented one or more of the above conditions, the applicant shall be subject to a fin© of not less than $100 but no more than S500, and the application shall be denied. I also understand that it is my responsibility to notify the Depanment of Revenue of any changes in the information provided, yy H£.M CAp^ AR£ 7f\ ED -i s( F^OWToF Ho VSc IT >'5 NEAT T-Q > »\ ?£>S^ H rf ?£C ML^- Y v<ith 45 wow & Cc r rt;, 6<J Signature ^^^^^^^J^J^^^^-^_- Date J%^fe«<£.g^/ a , -2 CU-O
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FOR OFFICE US^pNLY
V
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7737362333
PAGE 01/03
City of Chicago Richard M. Daley, Mayor
Department of Rertnuc
Bca Reynit-Hiekcy Director
City Hall, Room 107A 121 North LaSalle Street Chicago. Illinois 60602-1288 (312) 7474747 (IRIS) (312) 744-0471 (FAX) (312) 744-2975 (TTY)
December 3, 2010
WILBERT S PETERSON 5407 N BERNARD CHICAGO, IL 60625
Dear Applicant:
The Department of Revenue received your request for disabled parking signs. The application was reviewed and a survey of the location was conducted. The Department cannot recommend the application.
The Department's reason for not recommending the application is:
Reason Not-Recommended: ALTERNATIVE ACCESSIBLE PARKING Explanation. GARAGE AT LOCATION
Appeals must be filed within ten (10) days. Appeal requests must be made in writing and state reasons to support a request for a review. Appeals may be directed to the Mayor's Office for People with Disabilities (MOPD), Disabled Parking Signs Appeal, City Hall, Room 104, 121 N. LaSalle St., Chicago, IL 60602. A decision regarding an appeal will be made within thirty (30) days of the request. Applicants are notified by mail of the final decision.
Should you have any questions or require additional information, please contact US at (312) 742-7434.
Very truly yours,
Anthony Gambino Manager of Parking
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PAGE 03/03
December 15,2010
(773) 478 - 2495
Alderman Margaret Laurino 4406 W. Lafrence Ave. Chicago, IL 60630
Re: Handicap Parking Restriction Permit Disabled Parking Signs Wife has Alzheimer's Disease
Dear Alderman Margaret Laurino:
On October 12,20101 made an application and sent the required check for an application for Disabled Parking Signs to be placed in front of our home located at 5407 N. Bernard Street Chicago, IL 60625.
The Main Purpose for requesting the Disabled Signs is due to the fact that my wife, Elaine has a very bad case of Alzheimer's Disease. She also has severe problems with walking and barely shuffles her feet using a walker and needs help from another person to hold her up with a chaise belt helping and guiding her.
We have been fortunate to have Elaine be able to go to the Alzheimer's Family Care Center some of the days of the week. This facility is run by the Rush Medical Group. The Alzheimer's Family Care Center has a bus that picks up my wife Elaine in the morning in front of our home and returns her again in the late afternoon again in front of our home.
We received a letter dated December 3.2010 from the Department of Revenue stating that the Department cannot recommend our application. The Reason Not-Recommended: ALTERNATIVE ACCESSIBLE PARKING. Explanation: GARAGE AT LOCATION.
Alderman Laurino, The bus from the Alzheimer's Family Care Center DOES NOT AND WILL NOT PICK UP MY WIFE, ELAINE FROM OUR GARAGE! When I called the Department of Revenue I was told that having is garage is the reason they must reject every application where a garage is located. That I must submit an appeal for a final decision. We need your help regarding this very important matter for us. I am enclosing copies of the application with our reason for requesting the Disabled Parking Signs and the letters from the Department of Revenue. Also pictures of my wife getting on and off the bus in front of our home. I have been a Builder and Realtor and lived at the same address since 1964 when we built this home of ours. Your Precinct Captain knows us very well as we talk often. Please help us.
I do have Handicap License on our car because I am a Disabled American Veteran and qualify for this type of License.
Seasons Greetings to you and your family.