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Home My WebLink About19-093IDENTIFICATION NO. 19-093 1 l t (Office Use Only) � atwlttIIi�,l APPLICATION FOR TAXICAB / MOTORIZED PEDICAB VEHICLE DRIVER (Police Department review must be made between 8 a.m. to 3 p.m., Monday— Friday) CITY OF IOWA CITY 410 East Washington street Failure to complete the "required" information will result in denial of the application Iowa City. Iowa 52240-1826 (3 19) 356-5040 Last First Middle (3 19) 356-5497 FAX /�' 1. Name (REQUIRED) l'rC3ijtu 2. Address (REQUIRED) I LO Yz S P 2- &12)t 4 (e E I ICeA At 3. Contact Information (REQUIRED) Email: SCta'ft. A v -At. b k%kweeB a do Cell Phone: 319 Sit - 0 S) 3 (All wriftefYcommunication sent via email) 4a. Driver's License expiration date (REQUIRED) 11 -1A- 2025 b. Taxicab Business Name (REQUIRED) 5. Prior experience in transportation of pa 6. Have you ever been arrested / charged with any misdemeanors and/or felonies in this State or elsewhere? a+y Otd Type of offense Where When v, bt1�lUI ilwc .�F�, �yw�e�1 )4130 What happened to the charge? (Circle one) •IIT' _O L �� Convicted Dismissed Deferre Suspended Plead Guilts =0thW V 1 7. Have you been arrested/ charged with any traffic offenses in the last five years? le S Type of offense Where When Flo 30l.r60. G_ Zn14 to the charge? (Circle one) onvi Dismissed ak"Sp, Deferred Suspended Plead Guilty Zol -LCI Other 8. Has your driver's license or chauffeur's license been suspended or revoked in the last five years? N) O 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) (SECOND NOl ARY) 04/2018 Page 2 APPLICATION FOR TAXICAB VEHICLE DRIVER 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 134 R- 18I t, issued on 9' 2 expiring on I\ 2y- 2021. 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 provisions of Title 5, Chapter 2, of the City Code. (Needs to be signed in front of a Notary Public) Signature of Applicant Date It -Z6-11 STATE OF IOWA ) COUNTY OF JOHNSON ) Subscribed and sworn to before me by �c ��-� C-2rcti`" on this 2fe Y�— day of ASHLEY AJAY-PLATZ ' Commission No. 785030 July 14,2020- I 4,2020I have reviewed this application, DCI report, and the State certified driving record of this applica6tand hsye determined that there is no information which would indicate that the issuance would be detrimental to the safefjl't3althrol welfa—re'bf resi- dents of the City of Iowa City (Title 5, Chapter 2, City Code).D-j.- � .cam Expiration date of Driver's license _ t'' Z -Y -Z° 2X -97 Sigpat re of Police Chief or designee Date Cl) 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. ufnce use umy Approved application DCI report State certified driving record Website update CIeNtr IDRIVEADGE PPL92018a.nded.DDC 04/2018 11b412019 16:03 Yefow Cab ffA)=93382708 P.0021002 STATE OF IOWA Criminal History Record Check Request Forme DCI Account Number: 9967-F (,rspporable) SQnd rwulta to- Iowa Mulon 01 USM11611v a on Name Ye80w Cab of Iowa Clty Support Operations Bureau, V Floor 215 E. r Street Address P.O. Boz 428 — Aes Moines, Iowa 50319 (515) 725.6066 Iowa City, Iowa 52244 (515)725-6080 Fax Phone (319)338-9777 Fax 319-3594142 Gfv,.0 h-2L�-19515- oma iw* o�wedbgla« t, As of �= I ] - a search of the prdvided name and date ofiiiit$ re ❑ No Iowa CrimiM4 History Rocord found with ACI * Q Iowa Criminal History Record attached, bCI#�y DCIinitials _ DCI -77 (updated or) -z6-2918) Rer.eived Time Nov. 4. 9019 'i:WM No. 7909 0419) iATEbW 16WA/PPS , o #O,"A 2019 Page I of DCI.00261899 NAME: GRAU,SCOTT ROBERT DOB SEX RAC 19551124 M W ADDITIONAL IDENTIFIERS SC BACK IOWA CRIMINAL HISTORY DCI 00261899 MISDEMEANOR CONVICTIONS ONLY PAGE 1 OF 2 DATE PRINTED - 2019/11/12 HGT NOT EYE HAIR SEN POB 601 166 BLU BRO MED IA 01 ARRESTED/TAKEN INTO CUSTODY 19800129 AGENCY: IA0770300 DES MOINES PD CHARGE NO- 01 IA STATUTE IA321-281 OMVUI _...- TRK#: L17524201 H 0 COURT DISPOSITION C, c AGENCY: IA077015.T POLK CO DIST COURT COUNT NO- 01 IA STATUTE: IA321-281 __. <.,��•C N OMVUI n CA CHARGE CLASS: MISDEMEANOR CONVICTION '<71 't7 m TRK#: L17524201 ^ = Q DRUNK DRIVING SCHOOL D •• SENTENCE DISP EFF DAT PLEAD GUILTY 19800418 PROBATION 1Y 19800418 DEFERRED SENTENCE lY 19800418 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. 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 filed pursuant to Iowa Code section 232.147(18). Additionally, criminal history data concerning convictions for certain juvenile sax offenses can be found on the Iowa sex Offender Registry: http://www.iowa"sexoffender.com/ . However, even though some information is \um'-MWW m, available on this site, the actual records for juveniles may still be •`p°` �g y� confidential and any confidential juvenile records cannot be provided,,�:W:�1pA •fj,��f".,, r� this record. In order to request the release of confidential juveni'e��^ 5 0 �9 records, if any, an application must be filed pursuant to Iowa Code:, section 232.147(18). ? � IN THE ABSENCE OF FINGERPRINTS FOR POSITIVE IDENTIFICATION THIS RECORD' I9��",\� BASED ON INPORMATION FURNISHED. WE CANNOT CONFIRM OR DENY THAT THE RECORD•'••/�/'1-•.•' ,��k�• ,.�' COVERS THE SUBJECT OF YOUR INQUIRY. DIVISION OF CRIMINAL INVESTIGATION N o_ G `a --1 C n"C N C-) Ql r r c ? 01 10WADOT jor li SMARTER 151h4PLER I CUSTOMER DRIVEN wwKiowadot.gov DrNM 8 IdxMJlieatimn Servfe44 PO Box 9204 l Des Moines- IA 5030S -920t; Phone 515-244-91241 Fax- 515-239-1837 Certified Abstract of Driving Record Inquiry Date: 11/4/2019 DL/ID #: 139AC1873(IA) Name: Grau, Scott Robert Class: D Address: 120 S MAIN ST APT Audit #: 4195530 CDL Cert Status:: 4 CDL Med Status:— None Issue Date: 09/25/2019 City/State: ELKADER, IA 52043 Expiration Date: 11/24/2025 ODD Endorsements: Chauffeur 3 Mailing Address: PO BOX 96 Restrictions: Corrective Lenses Defective Lights Date of Birth: 11/24/1955 Mailing ELKADER, IA Sex: M City/State: 520430096 (changing lanes History Information Convictions Customer #: 3383405 ACD ID Status: None JUR DL Status: VAL M14 CDL Status: N Nom .r� IA CDL Cert Status:: None CDL Med Status:— None Restriction ::�n Ndn -� r` Supplement: -.fir— Johnson IA ODD Sign/Signal ppM�� V OS/23/2017 06/05/2017 Defective Lights r IA Citation Date Conviction Date ACD Explanation County JUR 06/07/2014 11/19/2014 M14 Fail to Obey Traffic Johnson IA Sign/Signal 02/07/2015 06/10/2015 M14 Fail to Obey Traffic Johnson IA Sign/Signal OS/23/2017 06/05/2017 Defective Lights Linn IA 05/23/2017 06/05/2017 M42 Improper Lane Linn IA (changing lanes 04/06/2018 08/02/2018 M14 Fail to Obey Traffic Johnson IA Sign/Sicinal Accidents - Accident involvement indicated does NOT mean the individual was at fault or given a citation. Accident Date Case Number JUR 03/05/2019 1102412 IA Name: Grau, Scott Robert DL/ID: 139AC1873 Pursuant to Iowa Code §321.10, I, Darcy Doty, Director of Driver & Identification Services, Iowa Department of Transportation, do hPrPhv rnrtifv that I am the n,ctnrlian of the rnrnrric hPlri by nrivPr R IAPntifiratinn CPrvlrPc that this 1c .l tmp and Prr.,rltP 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 sea) of the Department to be set upon this document, at Ankeny, Iowa this date: Name: Grau, Scott Robert DL/ID: 139AC1873 11/4/2019 A2zh Driver & Identification Services Iowa Department of Transporation N 0 CD ;> ('+ C tl Cr) M 'ern -o M o _? -"Z yr == CD r