Record #: O2011-1568   
Type: Ordinance Status: Passed
Intro date: 3/9/2011 Current Controlling Legislative Body: Committee on Traffic Control and Safety
Final action: 4/13/2011
Title: Handicapped Parking Permit No. 77748
Sponsors: Olivo, Frank
Topic: PARKING - Handicapped
Attachments: 1. O2011-1568.pdf
Related files: SO2011-3566
MEMORANDUM FOR TRAFFIC REGULATION
PROHIBITION AGAINST PARKING (Except for the Disabled) Applicant Name: TOD A WINKELMAN
Primary Street Address: 5233 W 64th PLACE, CHICAGO, IL 60638 Location Signs to be Posted: 5233 W 64™ PLACE Permit Number: 77748 Hours: At all times Days: No Exceptions
 
ALDERMAN FRANK OLIVO, Ward 13
1
 
 
APPUCAtlONFOR DISABLED PARKING SIGNS PLEASE READTHE FOLLOWING p^REPULLY BEFORE COMPLETliMG THE FdRM
S:'';--«)fei,OT>M6::.'-'(
77748
An application will not be considered complete unless:
• AH Iines of the application have been completed in full;
• A check or money order for $70:00 made payable tp the City of Chicago is submitted as payment of the application fee; Please note: The application fee shall be waived for any person holding a valid, current disabled veterans plate.
• Disability must be permanent as evidenced by a copy of your valid disabled placard and/or current vehicle registration submitted at the time of application;
• Proof of residency, in the form of a copy of your drivers license, state identification, or utility bills are submitted at the time of application.
Completed application forms may be returned to: the office of your alderman, any City of Chicago Department of Revenue ■■]■■'.)'■$ facility, or via mail at P.O. Box 803100, Chicago. IL 60680-3100, ATTN: Disabled Permitting Section. A$25.00 riftalnteTtance• '•'„•;$ fee will be billed to you annually. Should you have questions or concerns, please call our perrriit processing division: at 312- ' 744-PARK (7275).
2. State Identification Number
3.  Drivers License Number
4. Applicant Last Name T
Wli \h\X\e\Lwi\A\rl\ 1 1 1 1 1 1 1
Ml | First Name 1
5. Home Address (primary residence)
Auhbi Iwl iMnii \p\i4 i i i ii i i i i i \b\c?\&±\%
6. Address Where signs will be posted '
■ W/ARO NUMBER
i i i i i i i i i i i 1 \\9i
7. Phone Numbers Home
/ \5>
Business '
naR~m l5t5"u?i3i5'
8. Current Permanent Disabled Placard Number
Registered to
Relationship to Applicant
 
 
 
9. Current License Plate Number
Registered to
City Sticker No.
Relationship to Applicant
 
 
/
 
tp: Description ot Medical Condition and Disability                   ®^ Sfiffltf/V             *                      fy$)4c> L.
jARerriatiye Parking: Please note your application may be denied if you have alternative accessible off-street parking &£ffl&'fc^ij&
■11. Is there off-street parking available at your primary residence        □ YES    ©"NO                           ^XO °\ ^ C^^j/v • (I.e., garage, car port, driveway, etc.)?                                                                                      n       v^V, c.
12. If you answered Yes to question 11. please describe:          NO $\0>Ze Vc*"   D^S 't) gC^CKll^ Ap^w □ Garage;   □ Driveway;     □ Car Port:      □other    {f)   U)V\«{\ 6vVi Vr rm<(?p£
>13^ Is yoiir. off-street parking accessible? ' □ Yes;       S^No. Please explain:
? :
Ii If
si >■('
L;-j
'0
I
14. Affirmation: I hereby affirm that the above information is true and correct. If the City of Chicago Department ot Revenue determines that the applicant has falsely represented one or more of the above conditions, the applicant shall be subject to a fine ofinotless:than $100 bulino rnpre 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 ioformatiwi provided.
Revenue' of any changes In the information pro
Date.
FOR OFFICE
 
PLACARD/PLATE
RESIDENCY
□ COMPLETE Sin Moo
 
 
FRANK OLIVO
Alderman, 1 3th Ward
6500 S. Pulaski Road - 60629 Telephone: (773) 581-8000
CITY COUNCIL
CITY OF CHICAGO
COUNCIL CHAMBER SECOND FLOOR, CITY HALL 121 NORTH LASALLE STREET
TELEPHONE: (312) 744-3076
COMMITTEE MEMBERSHIPS
AVIATION - COMMITTEES RULES and ETHICS FINANCE
LICENSE and CONSUMER PROTECTION BUDGET TRAFFIC CONTROL and SAFETY ZONING
March 4, 2011
Honorable Patrick O'Connor Chairman
Committee on Traffic Control and Safety 121 N. LaSalle Street, Room 300 Chicago, IL 60602
Dear Chairman O'Connor:
I wish to override the following application for handicapped parking signs:
5233 W. 64th Place - 77748
Your assistance with this matter will be greatly appreciated. If you have any questions, please call Shah Knight at (773) 581-8000.
With kindest personal regards, I remain
Sincerely,
 
Frank J. Olivo Alderman, 13th Ward