APPLICATION TO USE THE PUBLIC RIGHT OF WAY
Plcaicsiibmh all of your application materials via mnll lo the following addrcn. No hies will be accented.
City of (.'hicajo Department of Buiinett AfTiirj tad LireDjiaj, Public W«v Vtt Unil Cujlomtr Scrvitr Ccnlcr 333 S. Slate Strccl, Suite LL30 Chicago, IL 611604-3977
(312)74-<JOBJZ (144^249) (3I2)742-l')'4rn'V)
APPLICANT INFORMATION
LEGAL NAME OF ENTITY:_J.P, Lane Co.
PERMIT MAILING ADDRESS
city_ Chicago
2068 N Leavitt
STATE
IL
contact person: Robert L. Friedlander title Owner_
PHONE: 773-477-7081 fax-.
EMAIL:
TJSE OF THE PUBLIC WAV
1. List the proposed or existing use below and complete the attached worksheet Only use one application per public way use type.
Type
Jiiaics_
How .many. 2____
1
Building Address
2068 N Leavitt
2. Please enclose one sketch of proposed use ofthe public way, which maps to scale
the proposed use and its relationship to surrounding right-of-way. All measurements must be
indicated.
The prints should also accurately depict the location of Ihe property line and public facilities ( meters, light poles, sidewalks).
APPLICANT CERTIFICATION:
I hereby certify' (hat all statements made as part ofthe application and the attachments herein, and true to the best of knowledge and belief.
Bv: Robert L. Friedlander Title: Owner
F.E.I.N. or Social Security Number: 36-4149895
ALDERMAN'S APPROVAL: Scott Waguespack
As part nf this application process, you are required to notify/obtain approval from Ihe Alderman in whose ward your proposed use of !he public way is located.