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Home My WebLink About18-120CITY OF IOWA CITY 410 East Washington Street Iowa City, Iowa 52240-1826 (3 19) 356-5040 (319) 356-5497 FAX Last 1. Name (REQUIRED) IDENTIFICATION NO. lF�—j,;ZZ) (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 Middle jjEE5F ! w7u k�r-NAILLl 2. Address (REQUIRED) f&) 110j"C", r T1A-An 1k ST S 3. Contact Information (REQUIRED) Email: Cell Phone: 3iq 541 2174 (All written comMunication sent via email) 4a. Driver's License expiration date (REQUIRED) O —0717 p70 b. Taxicab Business Name (REQUIRED) 1D i C h 5. Prior experience in transportation of passengers: nli n5 T ✓_; �h,,q Okq +JI 017 6. Have you ever been arrested/ charged With any misdemeanors and/or felonies in this State or elsewhere? Tvoe of offense Where _ When IK. 'rd L4 ee �Aiar Jo(Lt9 r C `T rL1ou .t G, 1G._,_' T What happened to the charge? (Circle one) "+-I Convicted Dismissed Deferr Suspended Plead Guilty Othery Have you been arrested / charged with any traffic offenses in the last five years? Ye 1t Type of offense Where When Ae-CQM4 TA 01/15 What happened to the charge? (Circle one) Convict Dismissed Deferred Suspended Plead Guilty Other 8. Has your driver's license or chauffeurs license been suspended or revoked in the last five years? Ale) 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) 04/2018 APPLICATION FOR TAXICAB VEHICLE DRIVER Page 2 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). I hereby certify that I have issued to me by the Iowa Department of Transportation a valid Driver's license number _j5�x2 5SR f issued on li/Z /7 Lis; expiring onI understand that iffalsely 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 provisions of Title 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant , A I Date 12 Z/ 11H'111111ffiMNNH1NHrtH11f11H4H11HHifH1NHHNH}N1H1fHH}1NH1N1MN1fYIf1N4N111H1HH}H4if4llf�lf{fleyyff�yflf4fyfflf Nf 1R1 STATE OF IOWA ) COUNTY OF JOHNSON ) ��►l r� and sworn to before me by 6* -UA �, w-9 -e!� p on this day of wENDY S. for ril 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 or welfare of resi- dents of the City of Iowa City (Title 5, Chapter 2, City Code). Expiration of Police =9 7 or designee 9(0`6;F_ Zr✓Z0 ) Z'Z/-/, 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. Office Use Only Approved application DCI report State certified driving record Website update /a -';'�I-ig Date QWkrrM0RN94DGEAPPL9201 Bem ded DOC 04/2018 ARTS Page I of 2 1W 0GT SMARTER I SIMPLER I CUSTOMER DRIVEN lN4NV Ladot.!gov Driver B Identification Soryiors PO Box 9264 1 Des MOMM IA 506Dfr9264 ROW 515-244-9124 I Fan: 519-2331837 Certified Abstract of Driving Record Inquiry 11/27/2018 DL/ID #: 555XX5584 (IA) CDL Permit Class: A Date: County 01/03/2015 02/11/2015 S92 Speed (10 mph & Customer 4006252 Class: A CDL Permit Issue 11/20/2018 #: Dale: Name: Weese, Seth Richard Audit #: 3404521 CDL Permit 11/20/2019 Expiration Date: Address: 1720 Madison St' Issue Date: 11/20/2018 CDL Permit NONE Endorsements: Expiration 06/07/2020 CDL Permit Corrective Lenses, CDL Date: Restrictions: Intrastate Only City/State: Tipton, IA 527729217 Endorsements: Motorcycle ID Status: None P Mailing 1720 Madison St Restrictions: Commercial Learner DL Status: VAL Address: Permit, Corrective o Lenses, CDL Intrastate Only, No Air Brake Equipped CMV Restriction None CDL Status: VAL N r, Mailing Tipton, IA 527729217 Supplement: CDL Permit — i _ LIC -t City/State: - status: Date of 6/7/1983 CDL Cert Status: Non -Excepted IntraVte Birth: Sex: M CDL Med Status: None ,rl History Information Convictions , Citation Date Conviction Date ACD Explanation JUR County 01/03/2015 02/11/2015 S92 Speed (10 mph & under in 35-55 mph zone) IA Dubuque Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date JUR Case Number 11/21/2009 IA 538184 Name: Weese, Seth Richard DL/ID: 555XX5584 (IA) Pursuant to Iowa Code §321.10, I, Darcy Doty, Driver & Identification Services, Iowa Department of Transportation, do hereby certify that I am the custodian of the records held by Driver & Identification 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: http://172.29.254.55/drivers/reports/customerhistory/cerffieddrivingrecord.aspx 11/27/2018 ARTS pSNENI C, ,wry 11/27/2018 �Q,4i Driver & Identification Services eoc�Me� Iowa Department of Transportation Name: weese, Seth Richard DL/ID: 555XX5584 (IA) Page 2 of 2 N [V CJ1 iO http://172.29.254.55/drivers/reports/customerhistory/certifieddrivingrecord.aspx 11/27/2018 Nov. 30. 2018 - 9: 31 AM DCI IOWA No. 3016 P. 2 11/2712018 14-09 Yellow Cab (FAX)3193382708 P.0021002 STATE OMWA CrilwMatniftory* Record Ch&k 'Request Forin TV- IOW4 Division of CdW;AaYrnV blifeA u, VvFloor 115 B.30 SjtAet Pas Mblh* rb* $0349 (51*Us*k6- (M372$400' Pat I fflu recmosting in 16vvxCrhr4hal Mcftww-Ttoe^A rgt, — D Ca Accobvt Number. 996 7- F (If Awlicablo) Frow C428bof fd%ta CItY P.O.Box lo—witCity " $2244' (319) AS -0777 70; .(310) 339-7302 Lqa-t Ramo ftid ) pats gala bigQry record; maynot berelcasabtetw, C04c orlowiLchapfer 16=7: For coMRW4 irlintnal b1dory ocord )Rfor. *9 itflolved bylaw, always hqP'kyW, 11ftjoefor A e abqyt V.quwtius QMCWW qpftd%a MA -tow - av *in W I •dhakwith the DivisimAICAttmi 1101* V As of a6eueh qf the provided name and d8ae of birth roveaJod: 13 XID Iowa CrilhirW VsWq Pe,,ord found with D CI V . Jevoa 0iminal lAgtoiy Record attach d,. DCtO (07:7. 71 -DM initials Nov.30.2018 9:31AM DCI IOWA No. 3016 P. 3 IOWA CRIMINAL HISTORY DCI 00671923 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED - 2018/11/30 DCI:00671923 NAME: WEESE,SETH RICHARD DOB SEX RAC HGT WGT EYE HAIR SKN POB 19830607 M W 601 190 BLU BRO FAR IA ADDITIONAL IDENTIFIERS TAT L LEG TAT L SHLD CCH RECORD *** 01 ARRESTED/TAKEN INTO CUSTODY 20020526 AGENCY: IA0520200 IOWA CITY PD CHARGE NO- 01 IA STATUTE IA124.401 P099 BCH I TRK#: 100562801 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 01 IA STATUTE: IA124.414 POSSESSION OF DRUG PARAPHERNALIA COURT CASE ID: 06521 SMSM044103 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 100562802 SENTENCE FINE $100 02 ARRESTED/TAKEN INTO CUSTODY 20020902 AGENCY: IA0520000 JOHNSON CO $0 CHARGE NO- 02 IA STATUTE IA713-6A BURGLARY 3RD TRK#+ 100647202 COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 02 IA STATUTE: IA713.6A(l) BURGLARY 3RD DEGREE COURT CASE ID: 06521 F8CR062866 CHARGE CLASS: NON CONVICTION TRK#: 100647202 RESTITUTION SENTENCE DEFERRED JUDGEMENT PROBATION 3Y PROBATION EXTENDED lY DISCHARGED FROM DEFERRED JUDGEMENT COURT DISPOSITION AGENCY: IA052015J JOHNSON CO DIST COURT COUNT NO- 03 IA STATUTE: IA712.5 RECKLESS DSS FIRE/EXPLOSIVES - 1978 COURT CASE ID; 06521 FECR062866 DISP EFF DAT 20030423 n DISP EFF DAT - 20030418 20030418 20060418 to 20061004 �0 Nov.30.2018 9:32AM DCI IOWA DCI 00671923 PAGE 2 OF 2 CHARGE CLASS: MISDEMEANOR CONVICTION TRK#: 100647203 SENTENCE DISP EPP DAT JAIL 228D 20030418 FINE $250 20030415 AN ARREST WITHOUT DISPOSITION IS NOT AN INDICATION OF GUILT. THIS RECORD MAINTAINED BY THE IOWA DIVISION OF CRIMINAL INVESTIGATION, BUREAU OF IDENTIFICATION 19 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 1 No. 3016 P. 4 N O ►&i Nov.30.2018 9:32AM DCI IOWA No.3016 P. 5 DISCLAIMER This response can only Include public criminal history data. Under Iowa law, most Juvenile records are confidential. Confidential juvenile court records, if any, cannot be Included in this response. A signed release authorization is not sufficient to obtain this information from the Division of Criminal Investigation. In order to request the release of confidential juvenile records, if any, an application must be riled pursuant to Iowa Code section 232.147(18). Additionally, criminal history data concerning convictions for certain juvenile sex offenses can be found on the Iowa Sex Offender Registry. http://wwwdowasexoffender.com/. However, even though some information is available on this site, the actual records forjuvenlles may still be confidential and any confidential juvenile records cannot be provided with this record. In order to request the release of confidentlal juvenile records, if any, an application must be filed pursuant to Iowa Code section 232.147(18).