MEMORANDUM FOR TRAFFIC REGULATIONS
OVERRIDE
PROHIBITION AGAINST PARKING (Except for the Handicapped):
Street, etc:_West Pierce Avenue
Location, etc:_No. 3227_(Permit No. 71689)
Distance or extent:
Hours:_at all times
Days:_no exceptions
FRANK COLON
ROBERTO MALDONADO Alderman, 26th Ward
Jan 05.2011 1:30PM HP LASERJET FRX
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City of Chicago Richard M. Daley, Mayor
June 10, 2010
Department uf Rev tunc
Bca Rtyna-Kckey Director
ALDERMAN ROBERTO MALDONADO WARD 26
2434 W DIVISION ST. CHICAGO, IL 60651
City HfllL Room 107A 121 North USalle Street
Chicago, Illinois 60602-1288
Dear ALDERMAN MALDONADO:
(312) 747-4747 (IRIS) (312) 744-0471 (FAX) (312) 744-2975 (TTY)
The Department of Revenue received a request for disabled parking signs 1o be posted in your ward. The application has been reviewed and a survey of the location has been conducted. The Department cannot recommend the application.
Provided is the name and address of the applicant, the proposed location of the signs, and the Department's reason for not recommending the application.
Applicant's Name: FRANK COLON Applicant's Address: 3227 W PIERCE
Reason Not-Recommended: ALTERNATIVE ACCESSIBLE PARKING PARKING LOT 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 our office at 312.742.7434.
furranna Cochran-Person Deputy Director
cc: Mayor's Office for People with Disabilities
Jan 05,2011 1:30PM HP LASERJET FRX
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APPLICATION FOR DISABLED PARKING SIGNS PLEASE READ THE FOLLOWING CAREFULLY BEFORE COMPLETING THE FORM
71689
' 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 — OAV
2. State Identification Number
3. Drivers License Number
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4. Applicant Last Name
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First Name
5. Home Address (primary residence)
STREET NUMBER D1H. STREET NAME
I ZIP CODE
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6. Address where signs will be posted
STREET NUMBER I Dlfl. I STREET NAME
WARD NUMBER
• 7S Phone Numbers Home
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Business
B. 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 |
|
|
|
|
|
|
|
|
10. Description of Medical Condition and Disability
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Alternative Parking: Please note your application may be denied if you have alternative accessible off-street parking options.
11. Is there off-street parking available at your primary residence (i.e., garage, car port, driveway, etc.)? _
□ YES
12. If you answered Yes to question 11, please describe:
□ Garage; □ Driveway; □ Car Port; □ Other:
13.1s your off-street parking accessible? □ Yes;_CPffc. Please explain:
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 thai it is my responsibility to notify the Department ol tevenue of any changes in the information provided.
Signal
Date
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FOR OFFICE USE ONLY
□ FEE
□ PLACARD/PLATE
□ RESIDENCY
□ COMPLETE
Jan 05 2011 1:30PM
HP LASERJET FAX
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An fcawn Company
Page*l>of 1
\ame FRANK A COLON
Service Location 3227 W PIERCE AVE SF OI1CA00
Phone Number 773-252-4034
Account Number $237214001
Issue Date December 11, 2009
Meter Information Read Meter Load pate Number type
Road mi) lypu
12/10 997207880 General Service lot kWli
Hearing/Speech Impaired: 1-S00-S72-S789 OTY)
Custoaar Service:
1-aOO-CdtSM-l a-B00-334-7(
Meter Reading Previous Present 32*67 EST 33234 EST
Diff 667
Mult k 11%
Current Period
Other Charges
Residential Multiple Customer Charge Standard Metering Charge Distribution Facilities Charge Transmission Services Charge fclectricity Supply Charge Purchased Electricity Adjustment Environmental Cost Recovery Adj Energy Efficiency Programs Franchise Cost State Tax Municipal lax Total current charges
Thank you for your payment of S81.85
Service from 11/09/2009 to 12/10/2009
31
lib/ kwh X 667 KWh X 66/ kWh X
067 kWh X 667 kWh X
0.02407 0.00602 0.0643*
0.00010 0.00089
$7.32 2.24
16.05 4.02
42.92 0.52
-0.07 0.59 3.54 2.20 4.19
$83.52
Your Usage Profile
Total amount due
13-Month Usage (Toul kWh)
l.L'C
JjJLI
Moiilh
Billed
I Current Month Lasl Month Lasl Year
Total Demand
0.0 ! 0.0 ; 0.0 j
$83.52
Avg Avg
Daily Deity kWh Temp
21.5 22 4 9.2
"I
41
50 32
0 ) I H » J J ) » 1) S I.
Past due balances are subject to late charges, trade in your old, incandescent holiday'light strands for long-lasting durable LEO holiday lightsl Special discounts available NOW at ComEd's online energy store. Visit us at warn.Conȣd.com
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