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APPLICATION FOR DISABLED PARKJNG SIGNS PLEASE READ THE FOULOWINQ CAREFULLY BEFORE COMPLETING THE FORM
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72116
An application will noi to considered complete uniesi;
Ail lin*s ot tne application have been completed in tun; (C3)
* A check or roonay cutier tor $70.00 matte payable to the City of Chicago is submitted at. payment of ThtfSmi<i&en Please note: The application tee shall be waived tor any ooison holding a valid, current disabkw veterans W*&Jt\ Disability must bo permanent _ evidenced by a copy of your valid dlwblwrl placard and/or currant vernc;l> wpistrswuv submitted at the tine of application. v^**
« Proof ol nradenev,,n U» form of fl copy ot your dnvfiiii license. *Mt« i*>niific<iin^i. or utility bill* s«* isubir«i»»»a »t ih* time of application.
Completed application forms may bo mturntid tn: the office ol youi alderman, tiny Cliy of Chicago JJepanv»M>nt of Mftwrnue facility, or via mail at CO Box UOStOO. Chicago, IL 60680-3100. ATTN: DiMtotoo PeffWWnfl Section A 125.00 frrai«artftncc. fee will he billed to you annuniiy. .Should yoi» have 'juoctions or cononrns, ptoaso call our permit procof.!;irT',li division «t 3iH-(7275).
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i<l. AiUnTidticri, l nerehy otliim tJifti U>t above inlormauon ns irue duel correct. H liw Cily ii> Chioatjo Uitjpar*oern ol Hiivjnuo d«rttOTllrnj!,i lhal inc Applicant na« lalitely roprwmiterj one or mora ol Wit- obove eondiiieno. th* appKcflni aiuil U) Subjfca to u line of nor lens i'lw> SUM but no mow iihan $500. and ih* mpptl^etion shall tx: denied i also unde'st«nd Ihni ii iii mv re;5.ponaiWI)W to rwWy rhnr nepsrimunt i;f Rovonue of any chsngss in trie ■■nlomiaiion provkwio.
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FOR OFFICE USI
Onto .
iCARD/PLATE
ESID6NCY
XVJ CT=T0 ST02/6T/20
Cily of Chicago Richard M. Daley, Mayor
Augusts, 2010
Department of Revenue
Bea Reyna-Hickey Diwiior
ALDERMAN BRIAN DOHERTY WARD 41
6650 N NORTHWEST HWY. CHICAGO, IL 60631
City Hall, Room I07A 121 North LaSalle Slrwl
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Chicago, Illinois 60602-1288
Dear ALDERMAN DOHERTY;
(312) 747-474? (IRIS) (.112) 744-0471 (FAX) (312) 744-2975 (TTY)
The Department of Revenue received a request tor disabled parking signs to 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: LINDA J GUITERRES
Applicant's Address: 6776 N SAUGANASH AVE APT 1B
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 our office at 312.742.7434.
Very truly yours,
Anthony Gambino Manager of Parking
cc: Mayor's Office for People with Disabilities
UIIILDINi; CHICAG Ci TOCIi'rHKK
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XVJ CT:T0 ST0Z/6T/Z0