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Home My WebLink About16-031CIW OF IOWA CITY 410 East Washington Street Iowa City. Iowa 52240-1826 (3 19) 356-5040 (319) 356-5497 FAX IDENTIFICATION NO. 110 — 6?31 (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 First 1. Name (REQUIRED) L c>r)A 2 2. Address (REQUIRED) .7q32 Last -9- 3. Contact information (REQUIRED) Email: KL: b Korc, ohe, -20 12 @ Vr/� '- &II Phone: 712 -1;21- 1/779 (All written communication sent via email) 4a. Chauffeur's License expiration date (REQUIRED) 7 130 /,20 b. Taxicab Business Name (REQUIRED) L -g6 of IcwG C iy 5. Prior experience in transportation of passengers: a yrs. n 1.x t 6. Have you ever been arrested / charged with any misdemeanors and/or felonies in this State or elsewhere? U -e 5 Type of offense Where When T. 7C 1TGfSan �.cu.��' '19/073 What happened to the charge? (Circle one) Convicted Dismissed Deferred Suspended Plead Guilty Other Have you been arrested / charged with any traffic offenses in the last five years? Ve S Type of offens rAI e Where When ?l A:50,a 6o,>^4y 1.2/' What happened to the charge? (Circle one) / Convicted Dismissed Deferred Suspended C plead Guilty lv�.r. Others Has your driver's license or chauffeur's license been suspended or revoked in the las roe years?? O Type of offense Where _ "D t%Slften 9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the 'riame(s) ►\10 DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STATE CERTIFIED DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE CHIEF REVIEW You must apply for an individual Department of Criminal Investigation Report (form available upon request). (SECOND PAGE FOR REQUIRED SIGNATURE AND NOTARY) 02/2015 APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number 1--4 ^ u L- , Lc � e issued on a)y expiring on 07 / 3 o/,Yv / r; . I understand that if I falsely answer any questions 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 provisionsofTitle 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) Ch Signature of Applicant / P / /ave h Date_a_ I (o STATE OF IOWA ) COUNTY OF JOHNSON ) and sworn to before me by C—ryy�, y_i PINNyt� on this �_ day of ,1r 1 2c�(La A S. in a6d for the I 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 orwelfare of resi- dents of the City of Iowa City (Title 5, Chapter 2, City Code). Expiration date of Chauffeur's license :2�3-0! ;��/-( a— Signatu o lice Chief or designee Date AFTERAPPROVAL 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. '7t /(; w Signa �re of City Clerk or designee Date Office Use Only 4-2 =_ a Approved application DCI report _ State certified driving record Website update -= • FJ ClerWTAXI DRNV DGWPL92014amended.DDC 03/2015 2016J6 3:04PMcab �Dlv et Criminal Investigation (FAX)31933827t— Div 7337 STATE OF IOWA Criminal History Record Check Request Form To: Iowa Division ofCrlminel Invattlgation Support Operations Bureau, 1" Floor 2152.7 1h Street Des Moines, Iowa 50319 (515)125-6066 (515)'725-6080 Fax DCt Account Number: _9967-F IrfspplJoAte) From: _'hallow Crab of Iowa Cites P.D. Box 428 Iowa City, IA. $2244 (319) 338-9777 Phone: Fax: (319)339-7302 Laney I L„Dnne• I 'L'lAn I t7 / 30 / /..9 6 7 waiver itprmatlonr without a sighed waiver from the sublact or the regvest, it complgte virnlnal history record may not be releasable, per Code of Iowa, Chapter 692.2, For eomnlete orlminai hlsfory,record Information, as allowed by law, always obtain it waiver si nalure from the sublect of the reouest. Walver.Releas'e; r hareby give permission for ihs obova togvatling offlolsl Id dondvol an Iowa erimlnsl hialory r000rd otcok with the MOW of Criminal InvaaIreal Ion (DCF. Any criminal hbrory dom can c�eml/nna mo then Is me:nral ed by 1 e DCI may be rolcuad atoll owed by law. Walvar Slgnaturar. ��n 4L1; Iowa Criminal Hiptory Record Check Results As of / r �J- )o , s search of the provided name and date of birth revealep9 r n cn y' CD Q' ❑ D No Iowa Criminal History Reloord found with DCI - r_Y J �- Iowa Criminal History Record attached, DCI # Lf 5'r1 >'L DCI initials—t�,A—J DCI -77 (08/25/10) Received Time Feb. 10. 2016 10:14AM No, 7021 Feb. 15, 2016 3,04PM Div of Criminal Investigation No. 7337 P. 2/3 DCI:00452732 NAME: LONSY,LONN$ LINK LONBY,LONNIN LINN DOB SEX RAC 19670730 M W ADDITIONAL IDENTIFIERS 01 ARRESTED 19921229 IOWA CRIMINAL HISTORY MISDEMEANOR CONVICTIONS ONLY DCI 00452732 PAGE 1 OF 2 DATE PRINTED - 2016/02/15 HGT WGT EYE HAIR SKN POB 5.10 210 HAZ BLK MED IA CCH RECORD •** AGENCY: 1AD510000 JEFFERSON CO SO CHARGE NO- 01 IA STATUTE IA716-4 CRIMINAL MISCHIEF 2ND DEGREE TRK#: L43189301 CHARGE NO- 02 IA STATUTE IA708-11 STALKING TRK#: L43189302 COURT DISPOSITION AGENCY: IAOSIO15J JEFFERSON CO DIST COURT COUNT NO- 01 IA STATUTI6: IA716-5 CRIMINAL MISCHIEF STH CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: L43189301 SENTENCE JAIL ISO COURT COSTS 3 1/2 CREDIT SERVED/MITTIMUS FOR 11 1/2 DAYS PROBATION lY SUSPENDED 15D COURT DISPOSITION AGENCY: IA051015J JEFFERSON CO DIST COURT COUNT NO- 02 IA STATUTE: IA708-11 STALKING CHARGE CLASS: MISDEMEANOR CONVICTION TRK#! L43189302 SENTENCE FINE $50 15 RESTITUTION/25 DOLL COSTS 02 ARRESTED 19971115 AGENCY: IA0560000 CHARGE NO- 01 OWI IST TRK#: 013637401 COURT DISPOSITION AGENCY: IA056015J COUNT 140- 01 LEE CO SO IA STATUTE IA321J-2 LEE CO DIST COURT IA STATUTE: IA321J-2 DISP EFF DAT 19930316 19930316 19930318 19930318 DISP EPF DAT 19930422 Fe b. 15. 2016 3:05 PM Div of Criminal Investigation No, 7337 P. 3/3 OWI TRM 013637401 SENTENCE PLEAD GUILTY DEFERRED JUDGEMENT COURT COSTS PROBATION PCI 00452732 PAGE 2 OF 2 DISP EFF DAT DDS;SUB ABUSE EVAL AND TRMT 19980203 19980203 19980203 lY 19960203 AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT, THIS RECORO MAINTAINED BY THE IOWA DIVISION OF CRIMINAL INVESTIGATION, BUREAU OF IDENTIFICATION IS A PUBLIC RECORD PUT CAN ONLY BE RELEASED TO NON -LAW ENFORCEMENT AGENCIES BY THE DCT, 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 W, /r Iowa Department of Transportation (Yfice of Driver tiervicii {. Wl F roe) 800 532-'1121 PO Ac, 13204, Des Maros, dA. 50306 "J'W 51'ti 244 9124 1-i Yx. 54'1 233 1831 Convictions Citation Date Certified Abstract of Driving Record ACD Inquiry Date: 2/19/2016 DL/ID #: 769YY8261(IA) Customer #: 331290 Name: Loney, Lonne Linn Class: D ID Status: None Address: 2432 WHISPERING Audit #: 7743048 DL Status: VAL MEADOW DR Issue Dare: 01/29/2014 CDL Status: None City/State: IOWA CITY, IA Expiration Date: 07/30/2019 CDL Cert Status: None 522406805 Endorsements: 3 COL Med Status: None Mailing Address: 2432 WHISPERING Restrictions: Corrective Lenses Restriction None MEADOW DR Supplement: Date of Birth: 7/30/1967 Mailing IOWA CITY, IA Sex: M City/State: 522406805 History Information Convictions Citation Date Conviction Date ACD Explanation Count JUR 12/09/2014 01/19/2015 664 No Insurance Card Johnson i IA 12/09/2014 01/19/2015 M34 Followin Too Close 13ohnson IA Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date Case Number JUR 112/09/2014 _ 832671 IA Name: Loney, Lorne Linn DL/ID: 769YY8261 Pursuant to Iowa Code §321.10, I, Kim Snook, Director of Office of Driver Services, Iowa Department of Transportation, do hereby certify that I am the custodian of the records held by the Office of Driver Services, that this is a true and accurate copy of an official record currently in the custody of said Office, and that I have been authorized by the Director of the Iowa Department of Transportation to so certify. In witness whereof, I have caused my signature and the seal of the Department to be set upon this document, at Ankeny, Iowa this date: IOWA :3� D. Cl.T Name: Loney, Lorne Linn DL/ID: 769YY8261 2/19/2016 Office of Driver Services Iowa Department of Transporation