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APPLICATION TO USE THE PUBLIC RIGHT OF WAY APPLICANT INFORMATION
LEGAL NAME OP ENTITY: FOREVER 21_
PERMIT MAILING ADDRESS: 2001 S. Alameda_
CITY: LOS ANGELES_STATE CA_ZIP: 90058_
CONTACT PERSON: BRIAN CHUNG_TITLE:_
PHONE: 213-741-5109 FAX: 213-741-5105_E-MAIL: brian.crujng,(a>fcrever21 .com
PROPERTY OWNER INFORMATION
NAME: Tfi Equities LLC__
ADDRESS: 1687 Elmhurst Rd._:_
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USE OF THE PUBLIC WAY
I. Lis! Ihe proposed or existing use(s) below, and complete the worksheel en page 3. Use only one application for all public way use type.
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SIGN__3 865 W. North Avp_s_
2. Please enclose one sketch of proposed use of the public way. which maps to scale the proposed use and its relationship lo surrounding right-of-way. All measurements must be indicated.
3. All "No Fee" Items require a SSO application fee. Please remit with application.
4. "No Fee" items are listed in the price list on page 4.
5. The prints should also accurately depict Ihe location of the property line and public facilities (meters, light poles, sidewalks).
APPLICANT CERTIFICATION
hereby are In
iat all statements made as part of the application, and the attachments herein, I of my knowledge and!
ALDERMAN'S APPROVAL
As part of this application process, you are in whose ward your proposed use of the
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approval from the Alderman
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pSJK^EJi City o(Chicago Departmenl oi Business Affairs and Consumer Protection Public Way Use Unit lJLa>52it23 Business Assistance Center City HaLL Room 800! 121 to US«LU Street .'Chicago, Illinois 60602 K^uMcaoo* www.dtyo»chicago,orc/b8cp | 312.74. G0BIZ (744.6249) 312.742.1074 (TTY)
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