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Home My WebLink About15-295! � t CITY OF IOWA CITY 410 East Washington Street Iowa city, Iowa 52 240-1 82 6 (3 19) 356-5040 (319) 356-5497 FAX 1. Name (REQUIRED) _ IDENTIFICATION NO. �� (Office Use Only) APPLICATION FOR TAXICAB / MOTORIZED PEDICAB VEHICLE DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday - Friday) Failure to complete the "required" information will result in denial of the application 2. Address (REQUIRED) 7-! Middle -5- Last 3, Contact Information (REQUIRED) Email: &tPa�h?-L 2 Cell Phone: 36 bot- / %7 (All written communiclation sent via email) 4a. Chauffeur's License expiration date (REQUIRED) //- 30 - /5 b. Taxicab Business Name (REQUIRED) _ 4, 5.Pryor experience in transportation of passengers: 6. Have you ever been arrested / charged with any misdemeanors and/or felonies in this State or elsewhere? Type of ffense What happened to the charge? (Circle one) Where When Convicted Dismissed Deferred Suspended Plead Guilty Other 7. Have you been arrested / charged with any traffic offenses in the last five years? Type of offense What happened to the charge? (Circle one) Where Convicted Dismissed Deferred When 7-015 Suspended Plead Guilty Other 0 141f4l'44-71 VV �r 8 Has your driver's license or chauffeur's license been suspended or revoked in the last five years? / Cr Type of offense Where // When cy 9. Have you ever applied to bean Iowa City taxi driver using a different name? If yes, please protide the r4ame(s)-, /1/0 �n r- R DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STATEEE 3TIF4ED DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE G'H1ETF RE-WEW - M° You must apply for an individual Department of Criminal Investigation Report (form available upamrequest). (SECOND PAGE FOR REQUIRED SIGNATURE AND NOTARY) 02/2015 APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 ,3s,s,h11, `"JAI OR("C3 0 sltl�� tly I hereby certihat I have issued to me by the Iowa D partment of Transportation a valid Chauffeur's license number ,� .1, issued on Zy t� expiring on Ii 3) -6 1 understand that if I falsely answer any ciestions in this application, that this application may be denied. I agree that in making this application, I consent to allow agents or employees of the City of Iowa City, Iowa, in their discretion, to examine any and all records and documents relating to this application, and I further agree that, if authorization to be a taxicab driver is granted, to comply at all times with all of the provisions of Title 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant Date //" n STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by J v n r on this �J L day of in and fdr the State of Iowa 11 1 have reviewed this application. DCI report, and the State certified driving record of this applicant and have determined that there is no information which would indicate that the issuance would be detrimental to the safety, health or welfare of resi- dents of the City of Iowa City (Title 5, Chapter 2, City Code). Expiration date of Chauffeur's licenseC& 6 LLIo Signature o Polide Chief or 12>J91-1:3 Date AFTER APPROVAL BY THE CITY CLERK YOU ARE AUTHORIZED TO DRIVE A TAXICAB IN IOWA CITY FOR NO MORE THAN ONE YEAR FROM THE DATE LISTED BELOW. Sign f City Clerk or designee u Z /5 Date hJ C..1 Cn f^ Office Use Only Cn Approved application DCI report State certified driving record Website update 1M c a GleddrAXI DRIVBADGEAPPL92014amended.DOC 0312015 Pagel of 2 �i�uv� .�.� aT SMARTER I SIMPi P I (US1'0,m DRIVEN YVVVWi0'UVadot.gov Office of Driver Services PC Phone_ 515-244-4t24 1801}532 11OX 9204 � Des 20 5030 '1 Fa,: 519-98y337 WOW iowado€. go Certified Abstract of Driving Record Inquiry 11/24/2015 DL/ID #: 781YY4818 IA Date: ( ) CDL Permit Class: None Customer 5035817 Class: p ` A. CDL Permit Issue None Name: Dunn, an Br J Date: Y Audit #: 9537265 CDL Permit None Address: 744 E 2ND ST Expiration Date: Issue Date: 10/30/2015 CDL Permit None Endorsements: Expiration 05/23/2018 CDL Permit Date: None City/State: WASHINGTON, IARestrictions: Endorsements: NONE ID Status: 523532216 VAL Mailing 744 E 2ND ST Restrictions: NONE Address: DL Status: VqL Restriction None CDL Status: Mailing WASHINGTON, IA Supplement: None City/State: 523532216 CDL Permit ELG Date of 8/21/1978 Status: Birth: CDL Cert Status: None Sex: M CDL Med Status: None History Information Convictions Citation Date Conviction Date ACD Explanation 01/27/2014 04/02/2014 County JUR 01/29/2014 - 03/11/2014 - Improper Registration Johnson IA 03/05/2014 04/02/2014 Improper Registration Johnson IA 04/19/2015 05/28/2015 M14 Fail to Obey Traffic Sign/Signal Johnson IA 851 No Driver's License Johnson IA Operating While Intoxicated Test Refusal/Test Failure Violations ccurrence 10C2/26/2006 ACO Explanation Al2JUR OWI Test Refusal IA Sanctions ca Type Effective End ACD Explanation a •"' Revoked 03/09/ 2006 03/08/2007 Al2 .OWI Test Refusal Occurr�eq�yesJ UR IR' `"' Suspended 01/01/2013 01/06/2013 D53 Nan -Payment of Iowa IA C';""" t Suspended 06/18/2014 / 07/23/2014 D53 - Fine Non -Payment of Iowa ]A -°:'Y -rt I-'_' 1A, i Suspended 03/16/2015 04/14/2015 D53 Fine Non-payment of Iowa Iq _ Suspended 11/30/2015 INDEFINITE D53 Fine�� Non -Payment of Iowa ]A FineIA IA W ]A Form 43700. ( W I NOWADOT SMARTER ! SIMPLER t CUSTOMER DRIVEN www—iowadQt gov Bryan J Dunn 744 E 2ND ST WASHINGTON, IA 523532216 Office of Driver Services PO Box 9204 1 Des Moines, IA 50306-9204 Phone: 515-244-9124 800-532-11211 Fax: 515-239-1837 Cust No: 5035817 Sanction No: 3159681 DL No: 781YY4818 Date: 12-09-2015 Effective 12-09-15 you are eligible to reinstate your Iowa operating privileges for motor vehicles. On or after this date, you may present this notice at an Iowa driver's license station, pass required tests, pay a $20 reinstatement fee if required, license fees, and be issued a valid driver's license. Your driver's license is invalid. This reinstatement is required before you may operate a motor vehicle. If your privilege to operate motor vehicles has been withdrawn in another jurisdiction, you may be required to provide clearance information from that jurisdiction. ltd Director, Office of Driver Services r.s m, 7.3 »_i r c7 - �._ ��lowa Department of Transportation Office Driver Services TEMPORARY DRIVING PERMIT D. L. Number NOT VALID FOR IDENTIFICATION D.L. Control Number Bryan J Dunn 744 12 no St Washington IA 52353 Name Address 08/21/1978 5"11 160 M Date of Birth Height Weight Sex D-Chauffer 3 -Less than 16 passenger None Class Endorsements Restrictions is hereby granted temporary driving privileges, subject to the following additional restrictions: Issue date of, this permit 11/24/2015 Expiration date of this permit 11/30/2015 Class LICENSE CLASSIFICATION PLAN A - Veh w/26001 GCWR or Restrictions more. Towed unit is Hazmat 1001 GVWR or more B - Veh w/26001 GVWR or C - Mechanical Aid More. Towed unit is less Tank than 10001 GVWR C - Veh w/26000 GVWR or E - Auto Trans less & either 16 Pass Design Trk-Trctr Semitrailer or Hazmat C - Non -Commercial Vehicle D - Chauffeur M - Motorcycle Signatur f Issuin fficial Title DL 4I_ Department R1 3 Veh w11 6001 GVWR or more. Not Valid for Trk- Trctr Semitrailer Comb Pass Veh less that 16 Pass Design G - No Driving When Headlights Required J - Temp Rest License K - LICENSE CLASSIFICATION PLAN Endorsements Veh wfo Air Brakes Restrictions H - Hazmat 8- Cor Lenses P - Pass C - Mechanical Aid N - Tank D - Prosthetic Aid T - Trk-Trctr Semitrailer Comb E - Auto Trans 1 - Trk-Trctr Semitrailer F - Outside Mirror Combo R1 3 Veh w11 6001 GVWR or more. Not Valid for Trk- Trctr Semitrailer Comb Pass Veh less that 16 Pass Design G - No Driving When Headlights Required J - Temp Rest License K - CDL Intrastate Only L - Veh wfo Air Brakes P - Special Permit O - No Int or Frwy Driving R - Max Speed of 35 MPH S_ SR Required D - Not Valid for 2 Wheel Vehicle V - L R Outside Mirrors W - Medical Report Upon Renewal X - See Specific Restrictions Listed Y - Intermediate Driver License 1 - MC Instruction Permit 2- Nan -Commercial Instruction Permit (Vehicle less than 16,001 GVWR) 3 - Commercial Instruction Pe',F�J'it :'---,. Chau' ffeur Instruction Permit :5= Mop'dd License± Mires Restricted License -7<r® Miu5Schoo7L4ense rl : -! Class B Passenger Vehicle Class C Passenger Vehicle y" W NOTICE TO WITHDRAW SUSPENSION Payment has been made in the amount of 12/8/15 -LAPP covering the fine, penalty, surcharge or court costs for the violation or conviction described below. Authorized Signature JOHNSON COUNTY CLERK OF COURT Date 12/09/2015 Name: DUNN, BRYAN J Address: 744 E 2ND ST WASHINGTON IA 52353 RESIDENT Driver 60 Day Notice Expires (Resident) 15 Day Notice Expires (Nonresident) ---------- Date Notice Mailed 05/28/15 Date sent to Licensing Authority 12/09/2015 ------------------------------------ ** DEFENDANT ** ------------------ Driver License No. ------------------------------- State DOB Sex 380045937 IA 08/21/78 M ------------------------ ---------------------------------- -------------------------------------------- ** CONVICTION/VIOLATION ** Case Number: 06521COSTA0154462 Citation Number Citation Date 183 0377 150419 124002 4 04/19/15 ------------------------------------------------------------ Vehicle Description Plate No. State Year 1999 ELK AUDI AA6 4D DCS954 IA 2015 Violation -------------------------------- ------ Location: 500 BLK 12TH AVE Description: FAIL TO HAVE VALID PERMIT/LICENSE WHILE OPERATING (321.174) Detail: FAILURE TO HAVE VALID PERMIT O Act/Post Sp: / Section Violated Conviction Date/Appearance Date CO/62.01(014) 05/28/15 ---------------------------------------------- -- ** CLERK OF COURT AUTHORIZATION ** Name: JOHNSON COUNTY CLERK OF COURT Address: 417 S CLINTON ST IOWA CITY IA 52240-4 Telephone Number: (319) 356-6060 Date Aut ----- -------------------------- ** TOTAL AMOUNT DUE ** 8 REGEIVFD DL 2^.' orized: Y2/(4'2 15 Fine, Penalty, Surcharge or Court Costs 12/08/15 CDCP CAPP --- ---------------------------- HOME JURISDICTION RECEIPT ��SPURf�4'JN '��elsicN ,.... ,4E I 3 ---� ____(FMWS02) Clerk -of -Court: JOHNSON COUNTY CLERK OF COURT Receipt Date: NOV-25-2015 417 S CLINTON ST IOWA CITY, IA 52240-4108 (319)-356-6060 Case #: 06521COSTA0154462 Rcpt #: 726727 Payor PIN: JO1543074 Citation #: 183 0377 150419 124002 4 BatchID: LEMO52 BRYAN J DUNN Remitted by: BRYAN J DUNN 744 E 2ND ST Payment Type: CASH WASHINGTON, IA 52353 Payment Ref#: Total Paid: Balance Due As Of NOV-25-2015 $50.00 $297.50 „Oov, IJ• 2015c 2: 30 PM Ceb Div Ot-Criminal Investigation (FAX)318338A0,; 1242 P. , - /OQ2 DCI Account Number: 9967-F — (irdppllanble) To; Iowa Division of Criminal investigation )rYcmt Yellow Cab of Iowa City Support Operations Bureau, 1” Floor P.O. Boxab 315 E. 7 Street 428 Des Winds, Iowa 50319 Iowa City, IA. 52200 (515)725-6606 Phone: q-2-. --0 Fax; (319) 339-7302 Mille ❑Female M Q y 5 �3-7 rraaver Injormatlon: Without a signed wolvor from the subject of the request, a aomplvto 4rlmlaal history record may not be ralaeseble, pot Code of Iowa, Chaptor 692,2. Icor cnmpleto ariminat hldtory•record lnforma,ttnn, ag allowed by taw, always obtmin n waiver slanature tram tha aikhi.,.a . rn,. .... . Walver Release; I hereby give permission for IAa above ragaaling ofltcla) In condael an laws erlmlnel hlnary record cheek wllh the Division VCrlmlaal Invullgellon (oCq. Any arlminal history dale eonecml : the: h malnta{n by the OCl may be released or ellowetl by law, Waiver s1knature, C� Received Time Nov.16, 2015 2IDAV No. 2004 CDC1 We only) As of i ��-15 a search of the provided name and date of birth revealed: — d No Iowa Criminal History Record found 'cc' with DC1 r ti . Iowa Criminal History Record attar hid, DCI #- L�1 11 L9 DCT initials DCI -77 (08/25/10) w Received Time Nov.16, 2015 2IDAV No. 2004 Nov. IT 2015 2:31PM Div of Criminal Investigation DCI :00671169 NAME: DUNN,BRYAN J DOS SEX RAC 19700821 M H IOWA CRIMINAL HISTORY MISDEMEANOR CONVICTIONS ONLY DCI 00671169 PAGE 1 OF 2 DATE PRINTED - 2015/11/17 HOT WOT EYE HAIR SEN POE 601 155 SRO BLK MI ADDITIONAL IDENTIFIERS -" - TAT LF ARM CCH RECORD **w O1 ARRESTED 20020525 AGENCY: IA0920100 WASHINGTON PD CHARGE NO- 01 IA STATUTE IA708-1-1 SERIOUS ASSAULT TRK#: 055431901 COURT DISPOSITION AGENCY: IA092015J WASHINGTON CO DIST COURT COUNT NO- O1 IA STATUTE; IA708.2(5) ASSAULT COURT CASE ID: 08921 SRIN006617 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 055431901 SENTENCE TIME SERVED 15D JAIL ISD 02 ARRESTED 20030717 AGENCY: IA0570100 CEDAR RAPIDS PD CHARGE NO- 01 IA STATUTE IA321-560 DRIVING WHILE BARRED TRK#: 502165601 COURT DISPOSITION AGENCY: IA057015J LINN CO DIST COURT COUNT NO- 01 IA STATUTE: IA321,561 DRIVING WHILE BARRED HABITUAL OFFENDER COURT CASE, ID: 06571 AGCR051938 CHARGE CLASS; MISDEMEANOR CONVICTION TRK#: 502165601 SENTENCE FINE $500 03 ARRESTED 20060226 DISP EFF DAT 20021204 20021204 DISP EFF DAT 20030130 AGENCY: XA0570100 CEDAR RAPIDS PD CHARGE NO- 01 IA STATUTE IA321J,2(2)(A) DWS/1ST OFFENSE TRK#: 503470501 COURT DISPOSITION AGENCY: IA057015J LINN CO DIST COURT COUNT NO- 01 IA STATUTE: IA321J.2(A) OP8R VEH WH INT (OWI) / IST OFFENSE COURT CASE ID; 06571 OWCR065835 No 1242 P, 2/3 u -` W Nov. 17, 2015 2'31PM Div of Criminal Investlgatlon No. 1242 P, 3/3 DCT 00671169 PAGE 2 OF 2 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#; 503470501 .DRUNK DRIVING SCHOOL _ SENTENCE DISP EFF DAT TIME SERVED 20060002 FINE $1000 20060802 JAIL 7D 20060915 COURT D18POSITION AGENCY: IA057015J LINN CO DIST COURT COUNT NO- 03 LA STATUTE• IA719,1(1)A INTERPERENCB WITH OFFICIAL ACTS COURT CASE ID: 06571 OWCRO65635 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#+ 503470503 SENTENCE DISP EFF DAT FINE $250 20060002 AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT, THIS RECORD MAINTAINED BY THE IOWA DIVISION OF CRIMINAL INVESTIGATION, BUREAU OF IDENTIFICATION IS A PUBLIC RECORD BUT CAN ONLY BE RELEASED TO NON -LAW ENFORCEMENT AGENCIES BY THE DCI. IN THE ABSENCE OF FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD IS BASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD COVERS THE.SUBJECT OF YOUR INQUIRY. DIVISION OF CRIMINAL INVESTIGATION C.^