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8. 20 1 1 3:43F
City of Chicago Richard Al Daley, Mayor
Department of Revenue
Bea Reysa-Hickey Director
City Hall, Room 107A 121 North LaSalle Street Chicago, Mitiou 60602-1288 (312) 747-4747 (IRIS) (312) 744-0471 (FAX) (312) 744-2975 (TTY)
Jo. 9317 P. 6.
December 15,2010
ALMA R WILLIAMS 9133 S ADA CHICAGO, IL 60620
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 i6 not passed within four months after its introduction, the permit 3hall 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: 9133 S ADA Permit number: 78181
Should you have any questions or require additional information, please contact the City of Chicago's Helpline at 312.742.7434.
' truly yours,
Anthony £5mbino Managerof Parking
Copy: ALDERMAN BROOKINS JR.
* ^viar. 8. 201
3:43PM
Jo. 931? P. 5
APPLICATION FOR DISABLED PARKING SIGNS PLEASE READ THE rt)LLOWil# lA^fiFUliy BEFORE COMPUETINQ THE FORM
78181
Art application will not be cons'cterpd complete uniess:
All lines of tho application have, besn £»mpl8teU in lull:
► A chock or money order lor $70.00 .made.payable to tho City ot Chicago » submitted as payment of the application lew; Ptease note: The. application tee aheil ob waivad (or ony person holding a valid, currant disabled wtctram pf«h?
Disutility must bs permanent as evidenced by a copy of your valid disabled placard and/or current vehicle reg«if5'i»n submitted ;it the time of application,
Proof of residency, in the form ol a copy of your drivers license, state identification, or utility bills am sirfcmitiftd ji? the timo of application.
Completed application forms may be mturrwd to: the office o! your alderman, any Cily of Chicago Department of ffeyemjtr facility, or via m»H at P.O. Box #03100, Chicago. IL 60680-3100, ATTN; Disabled Permitting Section. A $25:00 maintenance f«e wilt be Mllfld to you annually Should you f?ave questions or concerns, ptease call our permit processing division af 312-744-PARK (7275).
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*. Acpllcanl Last Name
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9. Currant LloDrwo Plata Number
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AJ&wnafnra'pajtri.-tp: PfeaBa note your sppllo^dri Nry .be dahtod you have tfiernntiw aowWtto oft-6!reot parting ofrtfons.
11. ts there off-atr«rt parttng aveilaWa at your primary resKtenoe (Co., gtragc, ca' port, driveway, etc.)?__
12.11 you answemct Yes to question 11, ptoase describe:
□ Garage; □ Ortwvay; ut Cat Port; . ClCwfor
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14. AitirnnHomrhoi^ afH^ lliatthe. abow Intorrir^wHa true end oorroct. if (t>e CHy ot Wcsqb Oepartmans o( Revenue cfoton^lrvet trial tfie epftfrcaril ha*(siafiiy reprfaontpd brio orTnort ol ^o o;bov« coodiiion«r th« eippllcBnl sha't be «ut>)act to a n«e of not lew than $100 btit'ne mort tf^m.$6CiQ,' and ttw appKcalton ahat^ba Oaaiejj. I also undaretand thai it is my rasponelWfty to notify the Department or. Acv«nu3 of any epbms in ih« igtoanstfon prortdad. ' '
Signelure
Data
ESIDENCV □COMPLETE ■* ^
FOR OFFICE USE OJslLY
i Mar. 8. 2011 3
43PM
No. 9317 P. 4
City of Chicago Richard M. Daley, Mayor
Department of Revenue
Bea Reyna-Hickey Director
City Hall, Room 107 A 121 North LiSalle StreM Criicago, Illinois 60602-1288 (312) 747-4747 (IRIS) (312) 744-0471 (FAX) (312) 744-2975 (TTY)
December 15, 2010
ALDERMAN HOWARD BROOKINS JR
WARD 21
9612 S HALSTED
CHICAGO, IL 60628
Dear ALDERMAN BROOKINS JR.:
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: ALMA R WILLIAMS
Applicant's Address: 9133 S ADA
Address/location of Signs: 9133 S ADA
Permit Number: 78181
Work Order Number: H10-1444
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
Anthon/Gambino Manager of Parking
Enclosure: Disabled Signs Application