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Home My WebLink About16-155.twltm�� CITY OF IOWA CITY 410 Cast Washington Slrcet Iowa City. Iowa 52240-1626 119) 356-5040 (319) 356 5497 FAX 1. Narne (REQUIRED) IDENTIFICATION NO. (Office Use'Only) APPLICATION FOR TAXICAB i MOTORIZED PEDICA13 VEHICLE DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday - Friday) Failure to cOrnpfete the "required" information will result in denial of the application First Middle -,5- Last 2 Address (REQUIRED) 7°-i4c J,cl Sj 3. Contacllnformation(REQUIRED) Email, &P lzZ,� (i(`1117. (G Cell Phone: l�'.6u1_/377 (All written communi a o sent via email) 4a Chauffeur's License expiration date (REQ b. Taxicab- Business Name (REQUIRED),__ 5. Prior experience in transportation of past 5 6. Have you ever been arrested/ charged with any misdemeanors and)or felonies in this State or elsewhere? ca What happened to the charge? (Circle one) When ""3 t_ Convicted Dismissed Deferred Suspended Plead Guilty Other 7. Have you been arrested / charged with any traffic offenses in the last five years? Tyne of offense Where When i venal nappenea to me cnarge't (U rcle one) Convicted Dismissed Deferred Suspended Plead Guilty Other 01"'/, 8 Has ,your driver's license or chauffeur's license been suspended or revoked in the last five years? fi r Type cf offense Where / Whe 7 F— /J n ' v r C7 9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please pro t DEPARTMENT OF CRIMINAL INVESTIGATION (DCI) REPORT AND STAT ECEftTIF4FD p -? DRIVING RECORD MUST ACCOMPANY THIS APPLICATION FOR POLICE CHIEF RE3AEW You must apply for an individual Department of Criminal Investigation Report (form available upon,request). (SECOND PAGE FOR REQUIRED SIGNATURE AND NOTARY) 07)2015 APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 I hereby certify that I have issued to me by the Iowa D artment of Transportation, a valid Chauffeur's license number _ 224 issued on -Zy (5 expiring on /I �-1� I understand that if I falsely answer any q estions 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 STATE OF IOWA ) COUNTY OF JOHNSON } Subscribed and sworn to before me by �v ti �, S J v no- on this s Lvv day of Iowa iRRR***h*ik'kA*;***i#*'**#ki*Ri#kF*k#*****#*k**k#*kk*xk#kkk*ikkR*kkk#*k#}kh%"kry**k#*W*Rrtrt**kk**iRRk*kkkk*R**kkk##*#k*kW}k;*tRR*M**#i*kA 3� �kkkii; !I] 1l 1 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 license C, 6 12O to -7, Signature o oli e C ief or designee 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. SignAtnrc-of City Clerk or designee IJ y l5 Date hr] Office Use Only y 1a y Approved application ;•; s i DCI report State certified driving record — Website update r ;� w Ckr TM1DRNBADGEVPLWfl14em dDOC 0312015 Page 1 of i.10, 51MARTIR i Di, 1 CUSIOM£F DRt 1 WWW'iowad4t.gov r Office of Driver Services F'O Dox 92C4 ! Des fAo,,t% 1A 50306-921M Fhoiro: 515-244-9124 1800-532-11211 F3C- 515-239-1837 'A^Wf 10i go, Citation Date Conviction pate Certified Abstract of Driving Record 01/29/2014 Inquiry Date: 11/24/2015 DL/ID #: 7E1YY4818 IA 7 CDL Permit OiVI Test Refusal Or Suspended Suspende0 01/01/2013 01/06/2013 Class: None Customer 5035817 Class: p ` Non -Payment of Iowa Fine #T Suspended 11/30/2015 04/14/2015 CDL Permit Issue None Name: Dunn, an er J Y Audit 0: 9537265 Date: Nor- of Iowa Fine IA CDL Permit None Address: 244 E 2ND ST Issue Date: Expiration Date: 10/30/2015 CDL Perini[ None Endorsements: Expiration G5/23/2018 CDL Permit City/State: WASHINGTON, IA Date: Endorsements: NONE Restrictions: None 52:1532116 ID Status: VAI. Mailing Address: 744 E 2ND ST Restrictions: NONE Restriction None DL Status: VAL Mailing WASHINGTON, IA Supplement; CDL Status: None City/State: 523532215 CDL Permit ELG Date of 8/21/1978 Status: Birth: CDL Cert Status: None Sex: M CDL Had Status: None History Information Convictions — Citation Date Conviction pate 01/27/2014 04/02/2014 01/29/2014 03/11/2014 03/05/2014 04/02/2014 04/19/2015 05/28/2015 ACD Explanation Improper Registration Improper Registration M14 Fail to Obey Traffic Sign/Signal B51 No Driver's License Operating While Intoxicated Test Refusal/Test Failure Violations r-- — Occurrence Sanctions ACD Explanation Al2 OWI 7est Refusal Type Effective End ACD Explanation Revoked 03/09/2006 03/08/2007 Al2 OiVI Test Refusal Or Suspended Suspende0 01/01/2013 01/06/2013 D53 Non -Payment of Iowa Fine IA !AIA Suspended 06/18/2014 03/16/2315 07/23/2074 053 Non -Payment of Iowa Fine Suspended 11/30/2015 04/14/2015 D53 Nom Payment of Iowa Fine IA INDEFINITE 353 Nor- of Iowa Fine IA County JUR Johnson ]A Johnson IA Johnson ]A Johnson IA FOrtn 45IDn� DOT SMARTER I SIMPLER I CUSTOMER DRIVEN 1NWW"IC11NadC)1.gOV Office of Driver Services PO Box 9204 1 Des Moines, IA 50308-9204 Phone: 515-244-9124 1800-532-1121 1 Fax: 515-239-1837 Bryan J Dunn 744 E 2ND ST WASHINGTON, IA523532216 Cust No: 5035617 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 drivers license_ Your drivers 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. Director, Office of Driver Services \Iowa Department of Transportation Office Driver Services TEMPORARY DRIVING PERMIT D L Number NOT VALID FOR IDENTIFICATION D.L. Control Number Bryan J Dunn 744 E 2"6 St Washington IA 52353 Name Address 08121/1978 5'11 160 Date of Birth M — —He Weight Sex D-Chauffer 3 -Less than 15 passenger None Class Endorsements - Restrictions is hereby granted temporary driving privileges, subject to the following additional restrictions: Issue date of, this permit 111.2412015 Expiration date of this permit 11130l2D15 class LICENSE CLASSIFICATION PLAN A - Vah w12WO1 GCWR or H- more. Towed unit is a - 1001 GVWR or more B- Ven w126001 GVWR or C - More. Towed unit Is less N - than 10001 GVWR C - Veh w/26DOD GVWR or T - less & either 16 Pass Design E - or Hazmat C - Non -Commercial Vehicle D Chauffeur M - Motorcycle ASignaturi Issuin fficial �f*4Lan wt,"l Title Department V - L R Outside Mirrors W - Medica, Report Upon Renewal X - See Specific Restrictions Listed Y- Intermediate Driver License 1 - MC Instruction Permit 2- Non -Commercial Instruc'ion Perr it (Vehicle less than 16,001 GVWR) 3 - Commercial Instruction Perypy' i ChraUffeur Instruction Permit b= -•--I Mopdd Liceilsa•. r MirW Restricted License Miru;5Scho6T1iwse r:l ;8=, Class S Passenger Vehicle ..: ... + Ciass C Passenger Vehicle Y - LICENSE CLASSIFICATION PLAN Endorsements Restrictions H- Hazrnat a - 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 G - No Driving When Headlights Required 2- Veh wl36001 OVWR or more Not Valid for Trk- Trotr Semitrailer Comb J - Temp Rest License 3 - Pass Veh less that 16 K - CDL Intrastate Only Pass Design L - Veh Wo Air Brakes P - Special Permit 0- No Int or rrwy Driving R - Max Speed of 35 MPH S - SR Required LI - Not Valid for 2 Wheel Vehicle V - L R Outside Mirrors W - Medica, Report Upon Renewal X - See Specific Restrictions Listed Y- Intermediate Driver License 1 - MC Instruction Permit 2- Non -Commercial Instruc'ion Perr it (Vehicle less than 16,001 GVWR) 3 - Commercial Instruction Perypy' i ChraUffeur Instruction Permit b= -•--I Mopdd Liceilsa•. r MirW Restricted License Miru;5Scho6T1iwse r:l ;8=, Class S Passenger Vehicle ..: ... + Ciass C Passenger Vehicle Y - NOTICE TO WITHDRAW SUSPENSION Payment has been made in the amount of 12/8/1.5 -CAPD covering the fine, penalty, surcharge or court coSLs for the violation or conviction described below_ Authorized Signature JOHNSON COUNTY CLERK OF COURT Date 12/09/2015 Name: DUNN, BRYAN J Address: 744 B 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 IIA 08/21/78 M -------------- ---- ------------------------------ ---------------------------------------------- ** CONVICTION/VIOLATION ** Case Number: 06521-COSTA0154462 Citation Number Citation Date 183 03'/7 150419 124002 4 04/19/15 ------------------------------------- Vehicle Description ----------------- Plate No. State --- Year 1999 SLK AUDI AA6 4D DCS954 IIA 2015 -- -------------------------- Violation ----------------------- Location: 500 BLK 12TH AVE Description: FAIL TO HAVE VALID PERMIT/LICENSE WHILE OPERATING (321.174) Detail: FAILURE TO HAVE VALID PERMIT 0 Act/Post Sp: / Section Violated Conviction Date/Appearance Date CO/62.01(014) 05/28/15 --4*---------------`-- CLERK OF COURT AUTHORIZATION ** Name: JOHNSON COUNTY CLERK OF COURT Address: 417 S CLINTON ST IOWA CITY IA 52240-4 08 RECEIVED DL 24 1 Telephone Number: (319) 356-6060 Date Aut orized:232/09/-- 15 J ** TOTAL AMOUNT DUE ** +^ I ` DEP RTidENY OF�OR,'MO`N ' ai0?CR IC'.'61VISIL'N Fine, Penalty, Surcharge or Court Costs : :Ge'.;'l s 12/08/15 CDCP CAPP " -------------------�-----HOME JURISDICTION RECEIPT =-_ _--- �O (FMWS02) r.�n 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: J01543074 Citation 4: 183 0377 150419 124002 4 BatchID: LEM052 BRYAN J DUNN Remitted by: BRYAN J DUNN 744 E 2ND ST Payment Type: CASH WASHINGTON, IA 52353 Payment Ref#: Totai Paid Balance Due As Of NOV-25-2015 r� ci W $50.00 $297.50 2Q15C 2:30PMcbbDiv of Crim'inal Inv=stlgation (Ftx)3193382N,� 1242 P. 1/3, STATE OF IOWA *ti Criminal History Record Check Request Form DCI Account Numborl _9967-P . (Irepplloabh) To: Iowa Dlvislon of Crimitral investigation PYOmta][Ow Cab OfXowa City Support Operations Iiuroav, S" Floor P,O, Box d28 115 E. 7 Street Des htolnos, iowo 50314 Iowa City, IA, 52244 (515) 725-d0$d Phono: gaK; (319j 339-7302 q- v- -n e ❑P'ettyale Q y !03-7 Waiver WOFMall0n: Without a aIgnod Waiver from the subject of the Yequest, a ooYnpleto grltnlna] history record May riot be raleesable, par Coda orTowa,'Chapter 692,2. Por comial6tii brlmina( hlttory•record Informa�tton, all allowed try lawl always oDtgln a Wnlyar sl nalJlre from the sublect of the rnnimet WatV*rhelease; I hereby give perinfsslon for Ino bboba regaesU ll oMela) in conducl an jaws criminalhlrlery record eheok wllh Ihr Division 9fCrlmine1 InvcsdeallM MCI). My wlminal hfnory dtle eonacml a thtl is melnwc by lhs DCt maybe rokued ar ellowtii by lxw, waivor Signature, Iowa Crimipal U199—ry Record Check Results y (DCI ure only) As of I i-tT (5 a search of the provided name and date of blrth revealed; , El No Iowa Crlminal History RCCOrd found with DCt r i , ,1W Iowa Criminal History Record atlach�.d, DCI #F3.2�� j y t.,� T ----1• � ��-'---• .H I DCS initials L DC[ -77 (68I7,511U) � c.> N Re caved Tilrre Nov, 16, 2015 2 100 lla. 2004 Nov.11. 2C15 2:3IFM Div of Criminal Investigation IOWA CRIMINAL 7118TORY MISDEMEA14CR CONVICTIONS ONLY DCI:00671169 NAME. DUNN,BRYAN J DOB SEK RAC HGT WGT EYE 19760821 M B 601 155 "0 ADDITIONAL IDENTIFIERS- - - TAT LF ARM DCI 00671169 PAGE 1 OF 2 DATE PRINTED - 2015/11/17 HAIR SKN FOB 0LN MI CCH RECORD **x 01 ARR68TRD 20020525 AGENCY: IA0920100 WASHINGTON PD CHARGE NO- OI IA STATUTE IA708-1-1 SERIOUS ASSAULT TRK#. 055431901 COURT DISPOSITION AGENCY: IA092015J WASHIT40TON CO DIST COURT COUNT NO- O1 IA STATUTE; IA106.2(5) A88AULT COURT CASE ID: 0$921 SRIN006617 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 055431501 SENTENCE TIME SERVED 15D JAIL 15D 02 ARRESTED 20030717 AGENCY: IADS70100 CEDAR RAPIDS DD CHARGE NO- 01 IA STATUTE IA321-560 P91VINO NNILE DARRED TRK#: 502165601 COURT DISPOSITION AGENCY: IA057015J LINN CO DIST COURT COUNT NO- 01 IA STATUTE: IA321,561 DRIVINO WHILE BARRED HABITUAL OFFENDER COURT CASE ID: 06571 ACCRO51938 CRARGE CLASS: MISDEMEANOR CONVICTION TRK#e 502165601 SENTENCE FINE $500 03 ARRESTED 20060226 DISP EFF DAT 20021204 20021209 D18P EFF DAT 20030730 AGENCY: IAo570100 CEDAR RAPIDS PD CHARGE NO- 01 IA STATUTE IA321J,2(2)(A) DHS/1ST OFF8NSE TRK#: 503470501 COURT DISPOSITION AGENCY: IA057015J LINN CO DIST COURT COUNT NO- 01 IA STATUTE: IA321J,2 W OYER VEH WN INT (OW1) / 18T OFFENSE COURT CASE 11); 06571 OSICR065035 Na.1242 F, 2/'I (� L1 - 4T7 b � •' CJ �J No .11, 2015 2'!31PV Div of CrlminaI I n v e s t i g a t o DCT 0067116S PAGE 2 OP 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 IA STATUTE' IA719,1(1)A INTRRP9REHC8 WITH OFFICIAL ACTS COURT CASE ID: 06571 OWCRO65635 CHARGE CLASS; MISDEMEANOR CONVICTION TRK#: 503470503 SENTENCE DISP RFP DAT FINE $250 20060602 AN ARREST WITHOUT DISPOSITION YS NOT AN INDICATION OF GUILT, THIS RECORD MAINTAINED BY THE IOWA DIVISION OF CRIMINAL INVESTIGATION, BUREAU OF IDENTIFICATION IS A PUBLIC RECORD BUT CAN ONLY HE RELEASED TO NON -LAW ENFORCEMENT AGENCIES BY THE DCI. IN THE ABSENCE OF FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD IS BASED ON INFORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD COVERS THE SUBJECT OF YOUR INQUIRY. DIVISION OF CRIMINAL INVE$TIGATION No 1242 P, 3/3