JANUARY 13, 2011 CITY COUNCIL
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION 1. PROHIBITION AGAINST PARKING (EXCEPT FOR DISABLED)
NAME OF APPLICANT:
PRIMARY STREET ADDRESS:
LOCATIONS OF SIGNS TO BE POSTED:
PERMIT NUMBER:
HOURS:
DAYS:
EDITA A. LAZARO 6730 N. WHIPPLE 6730 N. WHIPPLE 73526
AT ALL TIMES NO EXCEPTIONS
SECTION 2. This ordinance shall take effect upon its passage and publication.
APPLICATION FOR DISABLED PARKING SIGNS 73526 PLEASE READ THE FOLLOWING CAREFULLY BEFORE COMPLETING THE FORM
An application will not be considered complete unless:
All lines of the application have been completed in full;
A check or money order for $70.00 made payable to the City of Chicago is submitted as payment of the application fee; Please note: The application 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 office of your alderman, any City of Chicago Department of Revenue facility, or via mail at P.O. Box 803100, Chicago, IL 60680-3100, ATTN: Disabled Permitting 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 _ YEAR o I % I i \ o I [ I §' |
2. State Identification Number i\b\o\£[o | i | / ifTskM2- |
3. Drivers License Number |
4. Applicant Last Name MA|z|A|RM I I I I I I I I I I |
Ml A- |
First Name t |X> 1 1 1 Ti A| | | |. | | | |
5. Home Address (pri STREET NUMBER 6 l7l3 \o I |
mary DIR. u |
residence) STREET NAME II ZIP CODE w in 11 1 ?\? Il It 1 Is Ir |n \e \e Ir 1 1 1 1 1 UbkUl^ |
6. Address where sig STREET NUMBER |
ns w DIR. y |
II be posted STREET NAME W| H- | L |P \? \l \B\ \$> |
WARD NUMBER TIMEI5IH 1 ! Mill |
7. Phone Numbers Home i |1 |3 jx.\c i 2~n IS |
5 | G |
Business |
8. Current Permanent Disabled Placard Number |
Registered to |
Relationship to Applicant |
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9. Current License Plate Number |
Registered to |
City Sticker No. |
Relationship to Applicant -(j- |
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10. Description of Medical Condition and Disability |
Alternative Parking: Please note your application may be denied if you have alternative accessible off-street parking options. |
11.1s there off-street parking available at your primary residence □ YES QTnO (i.e., garage, car port, driveway, etc.)? |
12. If you answered Yes to question 11, please describe: □ Garage; □ Driveway; □ Car Port; □ Other: |
13.1s your off-street parking accessible? □ Yes; □ No. Please explain: |
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14. Affirmation: I hereby affirm that the above information is true and correct. If the City of Chicago Department of Revenue determines that the applicant has falsely represented one or more of the above conditions, the applicant shall be subject to a fine of not less than $100 but no more than $500, and the application shall be denied. I also understand that it is my responsibility to notify the Department of Revenue of any changes in the information provided.
Signature Scljjltl A ■ <c/y g g^A-lff_ Date I'*--
FOR OFFICE USE ONLY
□ FEE □ PLACARD/PLATE □ RESIDENCY □ COMPLETE
"c AMOUNT
J95.54
ime)
2009 Second Installment Property Tax Bi
Property Index Number (PIN)
Volume
Tax Year (Payable In)
Township
10-36-301-009-0000 504 75001 2009 (2010) ROGERS PARK
io - 01/13/11
4*, 517.97
IF PAID LATE 01/14/11 - 02/13/11
$ 1,540.40
IF PAID LATE 02/14/11 - 03/13/11
$ 1,562.83
OUR FIRST INSTALLMENT PAYMENT OF:
)N 02-16-10
,; Property location and classification for this PIN
i_E ST CHICAGO IL 60645 4123
LATE PENALTY IS 1.5% PER MONTH, BY STATE LAW.
2009 Tax 2009 Rate 2009 %
Pension
Property Classification 2-03
2008 Tax 2008 Rate
JS TAXES
tarnation District quarium Bond strict
; raxes Total
202. 30 10. 85 228.66 441.81
0. 261 0. 014 0. 295 0. 570
5. 64% 0. 30%
6. 38% 12. 32%
11. 62 9. 30
SCHOOL TAXES
Board of Education Chicago Community College Dist 508 School Taxes Toisl
1 , 833.91 116. 27 1,950. i b
2. 366 0. 150
51.13% 3. 24% 5*+. 3/'i
MUNICIPALITY/TOWNSHIP TAXES
Chicago School Bldg & Imp Fund 86.81 0.112 2 42%
Chicago Library Fund 76 74 0 099 2 14%
City of Chicago 687.52 0.887 19.17%
Municipality/Township Taxes Total 851 07 1 098 23 73%
316. 24
COOK COUNTY TAXES
Cook County Forest Preserve District 37. 98 0. 049 1 06%
County of Cook 151.92 0.196 4 24%
Cook County Public Safety 88.36 0.114 2 46%
Cook County Health Facilities 65.11 0.084 1 82%
Cook County Taxes Total 343 37 0 443 9 58%
0. 77 55. 03
(Do not pay these totals)
3, 586. 43
4.627 100.00%
198. 92 11. 84 243.13 453. 89
1 , 951. 32 123. 14 2,074.46
92. 36 80. 52 732. 54 905. 42
40. 26 176. 81 82. 88 67. 89 367. 84
3, 801.61
0. 252 0. 015 0. 308 0. 575
2. 472 0. 156 2. 628
0. 117 0. 102
0. 928
1. 147
0. 051 0. 224 0. 105 0. 086 0. 466
4. 816
TAX CALCULATOR
2008 Assessed Value
34,559
"2009 Property Value
2009 Assessmem Level
301,210
X .10%
2009 Assessed Value
30,121
2009 State Equalization Factor
X 3.3701
.2009 Equalized Assessed Value (EAV)
= 101,511 2009 Local Tax Rate
■ X -4. 627%
2009 Total Tax Before Exemptions' . = -4; 696. 91
"Homeowner's Exemption
Senior Citizen Exemption
.925. 40
185. 08
Senior Assessment Freeze Exemption -- - ■ ■- .00
2009 Total Tax After Exemptions
= 3,586.43
2, 090. 89
First Installment
Second Installment
.+ 1,495.54
Total 2009 Tax (Payable In 2010)
= 3,586.43
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EDITA A LAZARO 6730 N WHIPPLE ST CHICAGO IL 60645-4123
IF YOUR TAXES ARE PAID BY MORTGAGE ESCROW, BE SURE NOT TO.DOUBLE PAY.
EDITA A. LAZARO 06-07 GLORIA A. LAZARO
6730 N WHIPPLE ST. CHICAGO, IL 60645-4123
fvo231
3474
DATE /
PAY TO THE ORDER OF
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chase©
JRMorgan Chase Bank, N.A.
Chicago, Illinois 60670 www. Chase! com
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