MEMORANDUM FOR TRAFFIC REGULATION
PROHIBITION AGAINST PARKING (Except for the Disabled) Name Applicant: OWENITA SHANNON
Primary Street Address: 454 W 80TH STREET, CHICAGO, IL 60620 Location Signs to be Posted: 454 W 80TH STREET . Permit Number: 75113 Hours: At all times
Days: No Exceptions
City ot 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)
June 23, 2011
ALDERMAN LATASHA THOMAS WARD 17
7811 S RACINE AVE. CHICAGO, IL 60620
Dear ALDERMAN THOMAS:
The Department of Revenue recommends installation of disabled parking signs as described below. The application has been reviewed and a survey ofthe 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: OWENITA SHANNON
Applicant's Address: 454 W 80TH STREET
Address/Location of Signs: 454 W 80TH STREET
Permit Number: 75113
Work Order Number: H11 -604
Ifthe 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 Director of Administration II
Enclosure: Disabled Signs Application
BUILDING CHICAGO TOGETHER
City of Chicago Richard M. Daley, Mayor
June 23, 2011
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)
OWENITA SHANNON 454 W 80TH STREET 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 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: 454 W 80TH STREET Permit number: 75113
Should you have any questions or require additional information, please contact the City of Chicago's Helpline at 312.742.7434.
Very truly yours,
f)J*y,
Antftony Gambino Director of Administration II
Copy: ALDERMAN THOMAS
49CM)02 1M7/0S
APPUCATION FOR DISABLED PARKING SIGNS 75113 PLEASE READ THE FOLLOWING CAREFULLY BEFORE 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 lee 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 ihe time of application;
Proof of residency, in Ihe form of a copy of your drivers license, stale 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 S25.00 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 _ YEAR no \o\p5 1 |
2. State Identification Number SislOltF/lolfcl /TSI?rVl5 |
3. Drivers License Number |
4. Applicant Last Name 5\H\(\w\[k}\o\u\ i i i i i i i i i |
Ml 1 First Name biiA/i^iA/i \\h&\ i i i i |
5. Home Address (pn , STREET NUMBER |
many DIR. |
residence) 7ioFt ^&\^\^\+\ i i i i i i i i irfcWp |
6. Address where signs will be posted STREET NUMBER 1 MR, | STREET NAME . . HIS Ml 1 llM TIOP 4i£-|G"|fcrf4- |
. WARD NUMBER 1 1 1 1 1 1 1 ! 1 1 1 l/lll |
7. Phone Numbers Home |
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Business |
8. Current Permanent Disabled Placard Number |
Registered to Dvd&t^nQ Shanes) |
Relationship to Applicant |
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9. Current License Plate Number |
Registered to |
City Sticker No. |
Relationship to Applicant |
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10. Description of Medical Condition and Disability |
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 □ YES Kl NO (i.e., garage, car port, driveway, etc.)? |
12. If you answered Yes to question 11, please describe: □ Garage; □ Driveway; □ Car Port; □ Other |
13.1s your off-street parking accessible? □ Yes; S3 No. Please explain: |
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14. Affirmation: I hereby affirm that the above information is true and correct. If the City ol 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 of Revenue of any<5Ranges in the information provided.
Signature.
Date
AT^Ss^^E
□ COMPLETE s-nkao
FOR OFFICE USk OflLY
PLACARD/PLAT
RESIDENCY