MEMORANDUM FOR TRAFFIC REGULATIONS PROHIBITION AGAINST PARKING (Except for the Handicapped): Street, etc:_North Sawyer Avenue_
Location, etc:_No. 4502_(Permit No. 77911)
Distance or extent:_
Hours:_at all times
Days:_no exceptions
MEKHAEL MEKHAEL
RICHARD F. MELL Alderman, 33rd Ward
City of Chicago Richard M. Daley, Mayor
January 3, 2011
Department of Revenue
Bea Reyna-Hickey Director
City Hall, Room 107A I2l North LaSalle Street Chicago. Illinois 60602-1288 (312) 747-4747 (IRIS) (312) 744-0471 (FAX) (312) 744-2975 (TTY)
ALDERMAN RICHARD MELL WARD 33
3649 N KEDZIE AVE. CHICAGO, IL 60618
Dear ALDERMAN MELL:
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: MEKHAEL MEKHAEL Applicant's Address: 4502 N SAWYER Address/Location of Signs: 4502 N SAWYER
Permit Number: 77911
Work Order Number: H10-1478
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 questions or require additional information, please contact our office at 312.742.7434.
Very truly yours,
Anthony Gambino Manager of Parking
Enclosure: Disabled Signs Application
1
APPLICATION FOR DISABLED PARKING SIGNS 7791 \
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 S70.00 made payable; to the City of Chicago is submitted as payment of the application's?;
1 Please note: The application fee shall be waived for any person holding; a, valid,,current disabled veterans;p1ate. .-) j =
Disability must be permanent as evidenced by a copy ot your valid disabied^placardi|ind/or current vehicle registtation ; submitted at the time of applicaton; : ~j
Proof of residency, in the form of a copy of your drivers license, state identification, or utility bills are submitted at trie time of application. 1 .
.: Completed application forms may be returned to: the office ot your alderman, any City of Chicago Department of Revenue' JJvv facility, or via mail at P.O. Box 803100, Chicago. IL 60680-3100. ATTN: Disabled Permitting Section. £ $25.09 maintenance {&; '' . fee will be bitted to you annually. Should you have questions or concerns, please calf our permit processing division at 312-744-PARK (7275).
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si.: Date of Birth
MO ■__ ' TMY _ YEAR
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2. State Identification Number
3. Drivers License Number
',■4;-/Applicant Lasi Name
:fclK|fr|A|E|L
Ml i First Name
5,- Home Address (primary residence)
STREET NUMBER smtu »c .
sroeer NAME
6. Address where signs will be posted
. STREET itejMdfeft : lisil, iSTRSETMAME
nam ttjzsm
7. Phone Numbers
Home
Business
nlnife:.l7Tfg|
8/ Current Permanent Disabled Placard Number
Registered to
Relationship to Appticatit
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9= Current license Plate Number
Registered to
City Sticker No.
Relationship to Applicant I
10. Description of Medical Condition and Disabtfjty,
Alternative Parking: Please note your application may bo domed it you haveNalternative^ccessible off-street parking options.
n. Is there off-street parking available at your primary residence □ YES $2NQ (i.e., garage, car port, driveway, etc.)? _ .:
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12. If you answered Yes to question 11, please describe: □ Garage; □ Driveway: □ Car Poit Q Other
ig.lsytfurofl-street parking accessible? Pi Yes: □ No. Please explain:
14. Afllrmatipn: I hereby affirm that the above ioformalion Is irue and correct. If (tie City of Chicago Department of Revenue determines that ihe applicant has teisety represented one or more of the above conditions, the applicant shall bo subject to a fins of noHass than : $100 but no more than $500. end the application 6hall be denied. I also understand that It is my responsibility to noiify.the.,Departmen.t of Revenue cf any changes in the information provided.
Signature
Date
jFOR OFFICE USE ONLY
PLACARD/PLATE
City of Chicago Richard M. Daley, Mayor
Department of Revenue
Bea Reyna-Hickey Director
City Hall, Room 107 A 121 North LaSalle Street Chicago, Illinois 60602-1288 (312) 747-4747 (IRIS) (312) 744-0471 (FAX) (312) 744-2975 (TTY)
December 30, 2010
MEKHAEL MEKHAEL 4502 N SAWYER CHICAGO, IL 60625
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: 4502 N SAWYER Permit number: 77911
Should you have any questions or require additional information, please contact the City of Chicago's Helpline at 312.742.7434.
Very truly yoytcs,
Anthoay Gambino Manager of Parking
Copy: ALDERMAN MELL