January 25, 2011
ALDERMAN REY COLON WARD 35 2710 N SAWYER CHICAGO, IL 60647
Dear ALDERMAN COLON:
The Department of Revenue received a request for 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: PAULA DIAZ Applicant's Address: 2258 N HAMLIN
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,
Anthijrny Gambino Manager of Parking
cc: Mayor's Office for People with Disabilities
January 3, 2011
ALDERMAN REY COLON WARD 35 2710 N SAWYER CHICAGO, IL 60647
Dear ALDERMAN COLON:
Please see the attached application for disabled parking signs. The applicant is requesting a restricted parking space within your ward.
The Department of Revenue will conduct a parking study and review the application for compliance with Chapter 9-64-50 of the Municipal Code of Chicago. The Department will make its recommendation to you within thirty (30) days of the receipt of the application fee.
Should you have any questions or require additional information, please contact our office at 312.742.7434.
Very truly yours,
Deputy Director Department of Revenue
Enclosure: Disabled Signs Application
APPLICATION FOR DISABLED PARKING SIGNS PLEASE READ THE FOLLOWING CAREFULLY BEFORE COMPLETING THE FORM
72770
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 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 cbpy of your valid disabled placard and/or current vehicle-registration ■ submitted at the time of application; ' ";' - ^.c .
■ Proof of residency, in the form of a copy of your drivers license;' state identification,-^ utility bills are submitted at the . time of application.
Completed application forms may be returned to: the office of your aiderman. any City of Chicago Department of Revenue facility, or via mail at RO'. 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
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2. State Identification Number
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3. Drivers License Number
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4. Applicant Last Name
First Name
5. Home Address (pri STREET NUMBER \(2>\ |
mary DIR. |
residence) STREET NAME , | ZIP CODE ■rrlatltul I |i Inl i I I I I I I I I I I I I& lO |(x> |4 |"7 |
6. Address where sig STREET NUMBER |
ns w DIR. P |
II be posted STREET NAME |
j WARD NUMBER |
7. Phone Numbers Home "7 |-7 3 ~4 ft C^Jlp ^ |
( l° |
Business |
8. Current Permanent Disabled Placard Number 8bo eras |
Registered to .--- --■ -1 (_ |
Relationship to Applicant |
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9. Current License Plate Number |
Registered to |
City Sticker No. |
Relationship to Applicant |
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10. Description of Medical Condition and Disability k ^a^^jZ CD ^ |
Alternative Parking: Please not^ your application may be denied if you have alternative accessible off-street parking options. s |
11. Is there off-street parking available at your primary residence O'YES l3~NO (i.e., garage, car port, driveway, etc.)? |
12. If you answered Yes to question 11, please describe: □ Garage; □ Driveway; □ Car Port: □ Oiher: |
13. Is your off-street parking accessible? Q Yes; Q 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 >C
Date
FOR OFFICE USE ONLY
□ FEE
PLACARD/PLATE □ RESIDENCY
□ COMPLETE