City of Chicago Richard M. Daley, Mayor
February 1, 2011
Department of Revenue
Bea Reyna-Hickey Director
City Hall, Room 107A I2I North LaSalle Street Chicago, Illinois 60602-1288 (312) 747-4747 (IRIS) (312) 744-0471 (FAX) (312) 744-2975 (TTY) -
ALDERMAN TONI FOULKES WARD 15
3045 W 63RD STREET CHICAGO, IL 60629
Dear ALDERMAN FOULKES:
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: JAMES J SULLIVAN Applicant's Address: 3246 W 66TH PLACE Address/Location of Signs: 3246 W 66TH PLACE
Permit Number: 77858
Work Order Number: H11-109
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 orjequire additional information, please contact our office at 312./42.7434.
Very truly yours,
Anthony Gambino Manager of Parking
Enclosure: Disabled Signs Application
J&vi&::.. .,. 11 r: - 'iAi'" : .p: V? '. "(K;t. ,, ' : >>^^jiVtv!* .ii* ^ <.\r.-. ■' !■■
ABPEIQATtaN^MDISABLETOARKINGSIGNS ~ ~^SE?aj^QOTE\FOlil^W|NG CAREFULLY
'befoSe'^M^^'^^^he form
.V " An application will not be considered complete unless: » All lines of the application have bean completed in lull; Hi ' A chock or money order for §70.00 made payable to ihe City of Chicago is submitted.as payment of the appftcatien fee; |"i Ptease note: The application fee shall be. waived'for any-personWoidingpaiVaW ?.
Disability must be permanent asevide.nced by (a copy of youV valid disabled placard /anoVor current vehicle rcgisi/atio'ri . ;'^t^. ,:' submitted at the time'of application;- ■ '<:"! _ j- "'
;'!A':?'; ' PfO-'f of residency, in Ihe form of a copy-of'your driven license, slate identification" or utijiry-bilis are submitted at the. 't-& time of applicalion. " :
Completed application forms may be relumed to: the office of your alderman, any City 'of 'eBta?ga-Ppp«rtmo,''f of-Rsvrnuo facility, or via mail at RO: Box 003100; Chicago, lii'60680-3100. ATTN; Disabled P«rV}ti)ig Section?!A t?.b-00 n-sintKnance fee will bo billed to you annually Should you have questions or concerns, please :call ourl-'perrrijt .processing division. i\ #fc2* ■■ 744-PARK {7275), ■ ■" ' :-.]' ; ■-: ' ' ^ ■
Date of Birth
I 2.' 'StbtcVideiitificaiiori Number-
\ 2 state- i^ijiititic . .
4-. Applicant-Last Name ♦ ^bwt'-l^rst Name - !-'
■3. Drive*?. LicenseNbmbnr
4; AppiicatitiL&st Name
$tf\l\£\/¥tf]tA i.....ia
5. Home Address (primary residence)
.........L......u.
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6. Address.vrhere signs wilfbe posted ^7-sy«6r mf^wfa --I wfi.''/sr«teET/fiA».i= -//♦
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Phone Numbers
. ? Homo
2 i2\£xM.i.-MiL
isabte
B GurroritPermanent Disabled- Piacprd Number
^9.:' Current License-'Ptete'Nuniber.
i./
Registered'to
Registered tc ■
Kids*
■ City SticRet
Relationship & A^fem
Re(at(,bnsr:ip lo.Acoiiean?
■10:OGScription of Medical'Condition snd Oisabitiiy
'Aiterriatiyo^PaiKing: :Pleass note your application may be denied if you have alternative accessible off-street parking o&trrAs. i-.l t ."Is: there off-streat- parking available at youVp'rimary'residcRce QYES Ji$ NO
(u;.; garage, car pert, drivev.'ay. etc)? '. .____
1'2. li you answered Yes to question 11, pleasa-dascribe;
. * Q Garage: U.Drivoway, ; JCarRw!;;. -^O ©Iher:
■ p vl
T3.ls your olf-street parking^ae'eossibio?. -^iJ.Ycs; Q No. PieasepxpSain:
14. Aliirmiation: I hereby affirrn^tr^t: thei.a^e'(i^f^m|li<)n:is true anOgorrect. - It the.CJV-'C^'dh|^iig9.0i^b^&t oTHovenwe: dafcrrrtfnes '; ^ ,; ';-ihatthe eppficant has'talsery-iepresenteB.^^^^ .cptfdiijpnf,*the"a'^ npt'i.SeJjy'-lhan: .■'
f" i :$f66:bul.no more, than'$500;sa^ if Is rnyWs^psib'py fo:rioHfy'tr^iDepaftmei
, v-vU;sS).r)d .the^dpplicajjbh.^ i Revenueof any changes in tho InformatibliVrovidf^;;
Signature......y^^M^k
myWs^p'sib'iiity tb:ribti,fy'tteiDep^ftrrieni bf> Date. a.
FOR OFRCE
f^PLACARD/PLATE
RESIDENCY
□ COMPLETE i
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