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Home My WebLink About13-150 Authorization Number /3" ISO I 1 (Office Use Only) 4717.42117 Alt ti Memo allir APPLICATION FOR TAXI DRIVER CITY OF IOWA CITY (Police Department review must be made 410 East Washington Street between 8 a.m.to 3 p.m., Monday— Friday.) •wa Cit . 4 . 52240-1826 (3I9) 356-51' (319) 356-5497 FAX First Middle Last 1. Namee%4,'t S:-h.•et-z 2. Mailing Address '2_ cf f-t i z 'Rd. lot C: 4 c 2.210 o 3. Telephone: Home 317- SYy- 79'16 Other: 4. Prior experience in transportation of passengers: & t. yews e -tv; lcl ; 5. Have you ever been convicted of any misdemeanors and/or felonies in this State or elsewhere? Type of offense Where When 0(A/I ), eco 6. Have you been convicted of operating a motor vehicle while under the influence of alcohol or drugs in the last five years? Type of Offense Where When 5e-e- 7. e 7. Have you been convicted of any traffic offenses in the last five years? N. Type of offense Where When 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? A, Type of offense Where When 9. Have you ever applied to be an Iowa City taxi driver using a different name? If yes, please provide the name(s) 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). (OVER FOR REQUIRED SIGNATURE AND NOTARY) clerk/taxidrivbadg 03/2013 • I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Chauffeur's license number , 7 r 3 MM (:7 9 v p . I understand that if I falsely answer any questions in this application, that this application may be denied. I understand that if I falsely answer any of the questions in this application, that this application will 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 a license 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 Applican4Date �f f .........#,F,F,t,t.t,k,t,t,F.+...** *******t**...........................R.itAwin....xir......*********rfrxiRi....*.t,t........ht....F,tr...... k...— STATE OF IOWA ) COUNTY OF JOHNSON ) / // Sub cribed. and s orn to Jgefore me by /"'P J/ 1 1 Ct`1G?E. . On this /g74-11 day of \, Iu,Cy- , (J1 l� /Cc C rf IrzA.( CQ_ i.,-a'"i0. KELLIE K.TUTTLE Notary Public in and for the State of Iowa 0.,m,.,.., l l..,„b,r Yf 101 g My Cid,- son xoi es iow � ...„................................................*******...................************ I have reviewed this application, DCI report, and the State certified driving record of this applicant and have deter- mined that there is no information which would indicate that the issuance would be detrimental to the safety, health or welfare of residents of the City of Iowa City (Title 5, Chapter 2, City Code). na re f Police Chief or designee Dae YOU ARE NOT VALID TO DRIVE A TAXI IN IOWA CITY UNTIL AUTHORIZATION IS RECEIVED FROM THE CITY CLERK'S OFFICE. Authorized taxi driver names are placed on the city website at icgov.org. 7 ,Q��=min/ . vt/ ?- ,-.”. /. 7 Sig allure of City Clerk or designee Date Taxi cab businesses are required to provide Driver Identification cards. Cards must be 8 '/z" (width)and 5'/Z" (height)and prominently displayed to all passengers. Office Use Only Approved application DCI report State certified driving record Website update clerwta(idr(vbadgeapp2olo.doc 03/2013 Page 1 of 2 /r Iowa Department of Transportation �I , Office of Driver Services (Toll Free)800-532-1121 PO Box 9204,Des Moines, IA 50306-9204 515-244-9124 FAX:515-239-1837 Certified Abstract of Driving Record Inquiry Date: 7/11/2013 DL/ID It: 753MM0999 (IA) Customer#: 5033602 Name: Schuetz, Kevin Eugene Class: D ID Status: None Address: 1522 DICKENSON LN Audit if: 6134497 DL Status: VAL Issue Date: 07/18/2012 CDL Status: None City/State: IOWA CIN, IA Expiration 06/11/2017 CDL Cert None 522409111 Date: Status: Endorsements: 3 CDL Med None Status: Mailing Address: 1522 DICKENSON LN Restrictions: Corrective Lenses Restriction None Date of Birth: 6/11/1977 Supplement: Mailing City/State: IOWA CITY, IA Sex: M 522409111 History Information Convictions Citation Date Conviction Date ACD Explanation County JUR 10/16/2001 11/29/2001 A20 Operating While Intoxicated Johnson IA Operating While Intoxicated Test Refusal/Test Failure Violations Occurrence ACD Explanation JUR 10/16/2001 A90 OWI Test Failure IA Accidents -Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date Case Number JUR 03/01/2013 728336 IA • Sanctions Type Effective End ACD Explanation Occurrence JUR JUR Revoked 10/27/2001 04/25/2002 A90 OWI Test Failure IA IA Name: Schuetz, Kevin Eugene DL/ID: 753MM0999 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: 7/11/2013 Page 2 of 2 m:'' CLE h 7/11/2013 • IOWA %!cc' c: At : 0°'e... 0. T. \s' 1�v�f•DRIYERs-e owaeof Driver Department eofTes ansportation Name: Schuetz, Kevin Eugene DL/ID: 753MM0999 7/11/2013 • • Jul. 9. 2013 .11 :05AMDiv of Criminal Investigation '• No. 8473 P. 1/3 Jul.• 7• Clip IGi971IVI ,Div 1,1I14 --A. Il)• UI iLiv'ia til Ly - 1 , 1 1 1 F • 11 I I • . • k I I 1 • f,Q�n •• . ;T+q�i STATE ®k� 7.ti�. I • 'w 4. tiN�r. 1 a LIQ+ e > • 90,C� Cheek I%S>�l�. h''u gq•• :w .. brin 1312 11 tato yRe ' i,..� ;. Rs L1:,,.! d • a -��. . 'Y14t� p.. l y-� 1 F I -4402&r., ' • 1 U••'1t; a<e, 1• Aq��Y�O�LP y.•0)."$61 , rnial ..IplONAI'� - . • ' I • 1:. 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' I ' • , g rowel(kilns lli2fo yRecord attached,D #(9099ra ' • • 2r,fr ; Veil Time Jul. 5. 2013 12:49PMs•No. 9231-7 - • Jul. 9. 2013 11 :05AM Div of Criminal Investigation No, 8473 P. 2/3 IOWA CRIMINAL HISTORY DCI 00604412 MIODEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED- 2013/07/09 DCI:00604412 NAME; SCHUETZ,KEVXN SCRUETZ,KEVIN EUGENE DOB SEX RAC ROT WGT EYE HAIR SKN POB 19770611 M W 602 230 BRO BRO LGT IA ADDITIONAL IDENTIFIERS CCH RECORD sr: 01 ARRESTED 19990823 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA124-401-5 P058 CONT SUBS I TRIO: 046841901 • COURT DISPOSITTON AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA124.401(5) POSSESS SCR I CONTROLLED SUBSTANCE-MARIJUANA COURT CASE ID: SRCR052G73 CHARGE CLASS: NON CONVICTION TRIO: 046841901 SENTENCE DISP EFF DAT DEFERRED JUDGEMENT 19991201 COURT COSTS 19991201 PROBATION lY 19991201 DISCHARGED FROM 20000912 DEFERRED JUDGEMENT 02 ARRESTED 20011016 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA321J-2 OWI TRK#: 100369301 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE IA321J.2(A) OPER VEH WH INT (OWI) / 1ST OFF COURT CASE ID: 06521 OWCR060201 CHARGE CLASS: MISDEMEANOR CONVICTION TRIO: 100369301 SUBSTANCE ABUSE EVALUATION SENTENCE DISP EFF DAT JAIL 2D 20011129 FINE $1000 20011129 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 . 'Jul. 9. 2013 11 :05AM Div of Criminal Investigation No. 8473 P. 3/3 BASED ON INFORMATION FURNISRAD. WE CANNOT CONFIRM OR DENY THAT THE RECORD - COVERS THE SUBJECT OF YOUR INQUIRY. DIVISION OP CRIMINAL INVESTIGATION