Committee on Pedestrian and Traffic Safety Introduction to City Council January 26, 2022
MEMORANDUM FOR TRAFFIC REGULATION
REPEAL PROHIBITION AGAINST PARKING (Except for the Disabled)
DISABLED PERMIT PARKING REMOVAL APPLICATION
FOR SIGN REMOVAL REGARDING PROHIBITED PARKING EXCEPT FOR DISABLED PERMIT NUMBER
(Please print or type)
NAME OF'DISABLED INDIVIDUAL: . Qifrfefl^ SckflAfcej REMOVAL LOCATION OF DISABLED PARKING SPACE REQUESTED:
s ?*f»±:l\
(Please print or type currcnt;sign location address)
CHICAGO, ILLINOIS (ZIP CODE) h^ fs^j (PHONE NUMBER)
REASON FOR REMOVAL: (v\i)\J<d
ILLINOIS VEHICLE LICENSE NUMBER:
(W or V plates)
ILLINOIS-DISABLED'PLACARD-NUMBER:
(Secretary of State Disabled Placard)
CERTIFICATION: THE ABOVE INFORMATION IS CORRECT TO THE BEST OF
MY KNOWLEDGE: .....
(Signature of Applicant)
FORWARD THIS COMPLETED APPLICATION TO YOUR ALDERMAN.
DO NOT WRITE BELOW-THIS LINE
ALDERMANIC CERTIFICATION:
(Aldcrmariic Signature)
(Ward) (Date);
AFTER. APPROVAL, THIS,APPLICATION IS TO BE FORWARDED TO COUNCIL SERVICES BY THE ALDERMAN. AT THE TIME THE DISABLED SIGN REMOVAL ORDINANCE IS INTRODUCED.
The City of Chicago - Department of Revenue P.O. Box 803 IOO ATTN: Disabled Permitting Section Chicago, IL. 60680-310,0 Phone: 312.744.PARK (7275).
Revised: 4/24/2019