City of Chicago Richard M. Daley, Mayor
February 18, 2011
Department of Revenue
Bea Reyna-Hickey Director
City Hall, Room 107A 121 North LaSalle Street Chicago, Illinois 60602-1288 (3h2) 747-4747 (IRIS) (312) 744-0471 (FAX) (312) 744-2975 (TTY)
BUILDING CHICAGO TOGETHER
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: RAMON BORGES Applicant's Address: 2258 N HAMLIN
Reason Not-Recommended: ALTERNATIVE ACCESSIBLE PARKING Explanation: PARKING LOT
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,
4^
Anthony Gambino Manager of Parking
cc: Mayor's Office for People with Disabilities
APPUCATION FOR DISABLED PARKING SIGNS PLEASE REAP THE FOLLOWING CAREFULLY COMPLETING THE FORM
74404
"Li
Ah 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 a^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).
' Date of Birth i MO '. _ DAY _ TEAR '© | 3 |o |9 1 ^ |
2. State Identification Number 1 1 1 T 1 I 111 I l |
3. Drivers License Number 1 zji 1 -z. |o 1 ^k> N i i |
4c' Applicant Last Name £|OM^|CLfc>| 1 1 1 1 1 1 1 1 1 1 |
Mt 8 First Name k^|m|-cm: : i | i ; i |
5. Home Address (primary residence) STREET NUMBER DIR. STREET NAME 1 ZIP COOE fctel^lel K^hUllM/\l Glutei 1 1 1 1 II i i |
|
|
|
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6. Address where signs will be posted
. STREET NUMBER | KB. I STREET KAMI . » /
3:-lfefe>.l&{ WW6\pdp,\Us £ i?.:
7. Phone-Numbers Home .-7 1-7 15 T*5_\<4 I 3
WARD NUMBER
3Ei
Business
8. Current Permanent Disabled Placard Number
Registered to
Relationship to Applicant OUjI
9. UllllUIII LlLLiiuu.l.'lulu Huniuw
iS9
577^7 7y
Relationship to Applicant
10. Description ot Medical Condition and Disability - r ■
Alternative Parking: Please note your application may be denied if you have alternative accessible off-street parking options.
□ yes
11. Is there off-street parking available at your primary residence (i.e., garage, car port, driveway, etc.)?_
LNO
12. H you answered Yes to question 11, please describe: □ Garage; □Driveway; □ Car Port; □ Other
13. Is your off-street parking accessible? □ Yes; □ No. Please explain:
34-. Affirmation: 1 hereby affirm that the above information is true and correct. If the City of Chicago Department of Revenue determines ''^^.fM^pfilSc^^W^ represented one or more of the above conditions, the applicant shall be subject to a fine of not less than &, .^M pUCho more than $500. and the application shall be denied. 1 also understand that it is my responsibility to notify the Department ot ||||6^u|tf e^^tes in.the Information provided. fOiV^ <<ft1Q\ )/)
I FEE
PLACARD/PLATE
RESIDENCY
□ COMPLETE