City of Chicago Richard M. Daley, Mayor
February 7, 2011
Department of Revenue
Bea Reyna-Hickey Director
City Hall, Room 107A 121 North LaSalle Street Chicago, Illinois 60602-1288 (312) 747-4747 (IRIS) (3)2) 744-0471 (FAX) (312) 744-2975 (TTY)
ALDERMAN REY COLON WARD 35 2710 N SAWYER CHICAGO, IL 60647
Dear ALDERMAN COLON:
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: STEVEN ROSADO
Applicant's Address: 1621 N RICHMOND ST
Address/Location of Signs: 1621 N RICHMOND ST
Permit Number: 73393
Work Order Number: H11 -130
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 or require additional information, please contact our office at 312.742.7434.
Very truly yours,
Anthony Gambino Manager of Parking
Enclosure: Disabled Signs Application
BUILDING CHICAGO TOGETHER
City of Chicago Richard M. Daley, Mayor
Department of Revenue
Bea Reyna-Hickey Director
City Hall, Room 107A 121 North LaSalle Street Chicago, Illinois 60602-1288 (312) 747-4747 (IRIS) (312) 744-0471 (FAX) (312) 744-2975 (TTY)
February 7, 2011
STEVEN ROSADO 1621 N RICHMOND ST CHICAGO, IL 60647
Dear Applicant:
The Department of Revenue has recommended installation of disabled parking signs near your residence. Based on this recommendation, the signs for your restricted parking space will be installed. However, your application must be approved by City Council. If the proposed ordinance is not passed within four months after its introduction, the permit shall be revoked and the restricted parking signs removed.
The parking permit must be renewed annually. The fee is $25.00. A renewal notice will be mailed one year from the date the signs are installed.
Please be advised that you are required to report any changes to the information provided on your original application to the City of Chicago Department of Revenue. You are also required by City law to notify the Department if you no longer meet the following permit qualifications:
* You must hold either a valid, current disabled veteran's state registration plate or permanent person with disability license plate, permanent parking placard or device authorized by the Illinois Vehicle Code;
* Any vehicle parked by you or for you in the designated area must bear the disabled license plate, permanent disabled parking placard or devices issued to you by the State of Illinois;
* You must continue to reside at the home address listed on the original application.
A residential disabled parking permit will be issued to you by the City of Chicago. It must be placed on the right side of the dashboard. Only qualified vehicles displaying the permit are authorized to park in your restricted parking space. The permit number must be visible from outside your vehicle. The permit will be installed at:
Address/Location of Signs: 1621 N RICHMOND ST Permit number: 73393
Should you have any questions or require additional information, please contact the City of Chicago's Helpline at 312.742.7434.
truhwours.
Anthorw Gambino Manager of Parking
Copy: ALDERMAN COLON
APPLICATION FOR DISABLED PARKING SIGNS 73393 PLEASE READ THE FOLLOWING CAREFULLY BM=bftE COMPLETING THE FORM
An application will not be considered complete unless:
All lines of the application have been completed in full;
A check or money order for $70.00 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 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 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
2. State Identification Number
4. Applicant Last Name
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3. Drivers License Number "j
Ml I First Name
5. Home Address (primary residence)
STREET NUMBER Dm STREET NAME
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6. Address where signs will be posted
STREET NUMBER DIR. STREET NAME
7. Phone Numbers
Home
Business
7 17 13 I6l<7l3l4f 15
8. Current Permanent Disabled Placard Number
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9. Current License Plate Number
1L5 60-5?
Registered to
Registered to City Sticker No.
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Relationship to Applicant
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Relationship to Applicant 5£LF_
10. Description ot Medical Condition and Disability
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Alternative Parking: Please note your application may be denied if you have alternative accessible off-street parking options.
11. Is there off-street parking available at your primary residence (i.e., garage, car port, driveway, etc.)?
□ YES
I NO
12. If you answered Yes to question 11, please describe:
□ Garage: □ Driveway; □ Car Port; □ Other.
13.1s your off-street parking accessible? □ Yes; No. Please explain:
.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 ol Revenue of any changes in the information provided.
Signature ^^"^Tujrv^ ^ tr%*rtfit>
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□ COMPLETE tyjQ L.
FOR OFFICE USE ONLY
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LACARD/PLATE
ESIDENCY