MEMORANDUM FOR TRAFFIC REGULATION
PROHIBITION AGAINST PARKING (Except for the Disabled) Name Applicant: CLAUDIA J WALKER
Primary Street Address: 5623 S OAKLEY AVE, CHICAGO, IL 60636 Location Signs to be Posted: 5623 S OAKLEY AVE Permit Number: 77507 Hours: At all times Days: No Exceptions
12-21-10;03:05PM;
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APPLICATION FOR DISABLED PARKING SIGNS PLEASE READ THE FOLLOWING CAREFULLY BEFORE COMPLETING THE FORM
77507
An application will noi Pe consictorec compinre unless. All line;; o- \tv> jncificntion have boon camnlutcd in t.di-
A crteci- c.r mor.ay order tor S70.CC mage payvjic lo ihe City ••>' Cn -'-.iv. iu sci?rr«inetf at: ssymen; o.< the aoolicaxm .'««! Please note. The application lee s:*.all be v/aived lor any person Holding o val.-.i, «wm»nt tfsaWsu .cleans piaie.
• Disability must be pormaneni as -avidenced 5y a copy of yen: vairi D-siiO-ed placard or'd/o; vsrvfgia rogisiratror. sup/rtf'.&c at thtr Ume of application:
• Prco; ir residency, in lhe form of a sop1/ ol yo.-- Jn-y«rs lict-w. sta?-i i
Completed nppiicntior. forms may ba relumed to: the oflice of your alderman, 3ny rjiiy of Chicago Department of Revenue facility, or via mall ar P.O. Box 8C3100, Chicago. IL 50680-3100, ATTN: Disabled Permitting Seclion. A S25.00 malntananco fyo will be billed to you annually. Should you have quesligns or concerns, olease call our permit procoscing division a: 312-744-PARK (7275).
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