01/27/2011 THO 11:05 FAX
(21002/003
City «f Chicago Richard M. Daley, Mayor
Department of Revenue
BeaReyna-Hiekey
Due; lor
atj Hall, Room 107 A 121 North LaSalle Slrett Chicigo, Illinois 60602-1288 (312) 7*7-4747 (IMS) C3IZ) 744-0471 (FAX) (312) 744-2975 (TTY)
er22, 2009
U.EXBEACHAM SR 11641 S ADA ST CHICAGO, IL 60643
Dear Applicant.
Trie 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 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 SL, Chicago, IL 6O602. 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
8C998Z6£ZZ
urisnv -|/\| eujeo tyl-ll u LZ UBr
01/27/201L THU 11:06 FAX
0003/003
APPLICATION FOR 0fSA8LE0 PAftKiNG SiGNS ?0'?33 r PLEASE READ THE FOLLOWING CAREFULLY BEFORE COMPLETING THE FORM
An sppifcafeon w«l. rso'. ir* considered complete unisss: » Ail fcnes ct Jhe. spplteattorv teve been competed ir. iuii:
» A check or mofwy enter to- SPS.00 macfc pay;fo:utoihe City ol sweats is sttortcct! as fssyrsefis tf the app^i?*-* ;s« Pteaas was: Tr* aj?rtca!ior- tee shaft be wwvee lor any f»rson iioiclir.g a vato,. a«/.vtt etteWsd v«s»ans oia».
Disability must oe aeswjsnsm as evicta**©* by & cep? c-! y»ur v<M disables pfacsvei *r:-X'or surom venicte re-awif-aiion s>:;orrs'."eci *1 trie tinift o.' s^ic-nisr
Prooi ci tttktency, ir. the- tew of a copy c< your tJwtrrs kcwa*. state fderr.iticator. or uMlty bl;* are submitted »t tns
CcvmpteSsii application forms may bft rerwwcl»: the often ot your oHcierman. any Cily «i CWcsgo CesiSriMeni of Revenue facility, or vna mail a: P.O. Box 603100. Chicago. !L60580-3tC0. ATTN: Disabled PatirM-.ig Sasiio.n A325 00 nttifltananes fes will te Sfiled to yari annually. Shouta yoi; have Qyc-sfovns -r concerns, ^wars sal! our peimii picsessint: tfivisten & cia-
! i. OatSO'firfW
L.W.LALjl_V_i.-
12 S(ft1o We'iiaicelior* Kuni:«>
! 3. Offrqrs Lttc-rse- Nt»»fcH
-T-A* i
3. touiican: tad r^rre
Marry;
5 Hom.u AuiJross (p:\mr.f'f itisirisr-:.?)1
Life.
S. Atfoivv. wryeo siyui *vill i» posted
P'.'ty.'it- Munit-cts
I !
_ J________
! S> /\ -;. ; -■ r?
i !
1
! S. Current ?CTm.ir.oiii DiaKhltr'i Placard Nuiribs
r?
2j ^
Rsg^le-eiJ :i>
-J..L._L£.i^
-1 1
I__________________^^t-HA/r,
■pat*
........^<>!;u ^1 ■ & 'i ~^T;:> < i li ft......_________________
rA»o.-r(9lw>j Panqn^r P-'ease flt<!» y«;ir hjipiiristi^.-.- iray ,1 ur.o have kilioiriiiivc asscsBiWe ott-stroet i?ark»x(s<£Kr,c
] 11. is iters oP*$t-«et psirkirfi svai;aM» « your jriiray rsww»t»*s □ VES ^fMO ! ii.s., aaraga. tra' pc?;, urivgwiiy. *'ic ]?____' ,
f »? * you ajawRwjtf V«sto qi*sNor> IV olsa:^ <ltstrft>a."
! 'J<ta;eae: ;JDn-.-ev/sy: _lCarPtir jO»* vl^
M A(j!:!r-4!iVir':; fx-roby «ffrtft !ha« I.'IC aocvft IntornowiW, & !rjo <kv» j.j-n;<;l. if the Ci:-.' CM.iCioc Onpof .1:fto: ol flSvaftue i.-'ul<f:-'':ir.rr:i *»r ftppl's'/uis: fi*a (Wisely <ftj:<n$sefv:iK,: <»» orrrrjie ol ffw b'.-cv* jj«!Soi>&. W *J»':C*in{ »<tj&sitc- a /bs tj! p.;: li".fii;
S!9Q$us r; :t:e:^j K-yji ss'jft *<( d^e appli'jaSa<r sisiii bo do:»i«l. t also ondewarxi ;tiatii is «ny rssp^vtMiiy id notify tr.j> C«p**fl6iii of ^rw.:;Mjo ti &ri£4totj$i>s i« Xf inl;iri na'.ior: ar»wid«l. JSW ML
■ ' " -^t",.>----- - ^ * *
FOR OFFCCCTUS& QNLV
\ y^PLACARC.'PLATE: & RESIDENCY __rUi___> 1.....-------
8£99836eZZ
uiisny '|AI emeo
egt:u U Z3 uep