MEMORANDUM FOR TRAFFIC REGULATIONS OVERRIDE
PROHIBITION AGAINST PARKING (Except for the Handicapped;
Street, etcj_West 97th Street _
Location, etc::_No. 518 (Ptermit No. 76327)_
Distance or extent: ¦ ¦
Hours; at all times
Davs: no exceptions
(Odessa Mallett)
LIMITATION OF PARKING PRIVILEGES:
Street, etc._________
Location (or limits):______ _
Distance or extent: _________,_
Time limit:__. . ¦ . ¦ ¦_____
Hours:____. _¦ _¦___
Days:___--
HOWARD BJBROOKTWS, JR. f Alderman, 2l" Ward '
wis??
2:24F
8653
P. 5 76327
APPLICATION FOR DISABLED PARKING SIGNS PLEASE READ THE FOLLOWING CAREFULLY BEFORE COMPLETING THE FORM
An application will not be considered complete unless:
• All lines o< ihe application have been completed in lull:
• A check or money order for S70.00 made payable to the City ol Chicago is submitted as payment ol ine application lae: Please note: The application lee shall be waived for any person holding a valid, current disabled veterans olate
• Disability must be permanent as evidenced by a copy ol your valid disabled placard and/or current vehicle legislation submitted al the time ol application.
Proof ol residency, in the torm ol a copy of your drivers license, state identification, or utility bills are submitted ;it i'ie time ol application.
Completed application forms may be returned to; the otlice o' your alderman, any Cily of Chicago Department o! Revenue facility, or via mail at P.O Box 803100, Chicago. IL 6068O-3.00. ATTN Disabled Permitting Section. A £25 00 maintenance fee will be billed lo you annually. Should you have questions or concerns, please call our permit processing division -n 3'2-744-PARK (7275)
1 1. Date of Birth
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Applicant Last Name
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2. State Ideniification NumDcr —nr Drivers License Number
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5. Home Add'ess (primary residence)
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