MEMORANDUM FOR TRAFFIC REGULATIONS
OVERRIDE
PROHIBITION AGAINST PARKING (Except for the Handicapped):
Street, etc:
South Harper Avenue
Location, etc:.
No. 8007
(Permit No. 77477)
Distance or extent:
Hours:
at all times
Days:
no exceptions
ADA L. BALLENTINE
MICHELLE A. HARRIS Alderman, 8th Ward
01/05/2011 WED 15:07 FAX
0001/00|1010|
APPLICATION FOR DISABLED PARKING SIGNS PLEASE READ THE FOLLOWING CAREFULLY BEFORE COMPLETING THE FORM
77477
An application will not be considered complete unless:
• Ail lines of the application have been completed in full;
• A check or money order for $70.00 made payable to the City of Chicago is submitted as payment ol the application fee: Please note: The application fee shall be waived for any person holding a valid, current disabled veterans plate.
• Disability must be permanent as evidenced by a copy of your valid disabled placard and/or current vehicle registration submitted at the time of application;
• Proof of residency, in the form of a copy of your drivers license, state identification, or utility bills are submitted ai the time of application.
Completed application forms may be returned to: the office of your alderman, any City of Chicago Department of Revenue facility, or via mail at P.O. Box 803100, Chicago. IL 60680-3100. ATTN: Disabled Permitting Section. A $25.00 maintenance fee will be billed to you annually. Should you have questions or concerns, please call our permit processing division at 312-744-PARK (7275).
1. Date of Birth
MO _ DAY
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2. Slate Identrfication Number I
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4. Applicant Last Name
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5. Home Address (primary residence)
STREET NUMBER
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STREET NUMBER «R. STREET NAME
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7. Phone Numbers
Home
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8. Current Permanent Disabled Placard Number
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9. Current License Plate...
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