Transportation & Parking 5525 South Ellis Avenue - 1st Floor Chicago, Illinois 60637-1401
[email protected]
MAIN QUADRANGLE PEDESTRIAN ZONE EXCEPTION PERMIT APPLICATION
APPLICANT INFORMATION REQUESTOR’S NAME:
DEPARTMENT:
ADDRESS, PHONE NUMBER , & EMAIL:
AFFILIATION:
SPONSORING DEPARTMENT SPONSORS NAME (if different from above):
DEPARTMENT:
ADDRESS, PHONE NUMBER , & EMAIL:
AFFILIATION:
ACCESS USAGE INFORMATION: Reason for requesting temporary vehicle access into the Main Quadrangles Pedestrian Zone. Please explain what impacts on safety, functionality, and cost necessitate the need for an exception permit.
ALTERNATE ACCESS SUGGESTIONS: Consider using existing perimeter street loading zones (on 57th & 59th Streets and University & Ellis Avenues). If not a viable option, please explain:
Consider using existing perimeter loading dock (on 57th & 59th Streets and University & Ellis Avenues). If not a viable option, please explain:
Consider restricting parking on perimeter street to aide access. If not a viable option, please explain:
VEHICLE OPERATOR INFORMATION DRIVER NAME: CONTACT PHONE:
UCID #:
LICENSE PLATE #:
ACCESS USAGE INFORMATION: Buildings Accessed:
Duration of permit request: 1 Day 2 Days 3 Days Date(s):_________________________ If a permit is requested for more than three days, please complete an additional form(s). Access time (be as specific as possible): ____________________________________________________ Permitted vehicles are not allowed to drive on the Main Quadrangles between class sessions. If a permit is issued, the restricted driving hours will be posted to avoid vehicle and pedestrian conflicts. PLEASE READ AND SIGN By signing this form, I acknowledge the above information is accurate, and agree to abide by all University traffic and parking rules and regulations. ___________________________________________________________________________ Signature (Requestor)
_____________ Date
___________________________________________________________________________ Signature (Permit Holder)
_____________ Date
Please submit signed form to
[email protected] or mail to: Transportation & Parking 5525 South Ellis Avenue - 1st Floor Chicago, Illinois 60637-1401 OFFICE USE ONLY Approved / Denied If denied, alternate access suggested: _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ Date responded:_______________________________________________________________________________________________________
Permit Tag #:_________________________________________________________________________________________________________ Further information requested: Y or N Date:______________________________________________________________________________
