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Committee on Pedestrian and Traffic Safety Introduction to City Council January 26; 2022
MEMORANDUM FOR TRAFFIC REGULA TION
REPEAL PROHIBITION AGAINST PARKING (Except for the Disabled)
DISABLED PERMIT PARKING REMOVAL APPLICATION
FOR SIGN'REMOVAL REGARDING PROHIBITED PARKING
EXCEPT FOR DISABLED PERMIT NUMBER ^ 2-1
(Please print:or type)
NAME OF DISABLED INDIVIDUAL: l/toT^X jj&Sp*cLk^
REMOVAL LOCATION OF DISABLED PARKING SPACE REQUESTED:
(Please print or type,current sign location address)
CHICAGO, ILLINOIS (ZIP CODE) Qojo^ (PHONE NUMBER)
REASON FOR REMOVAL: MouPcl <3aa3cm^
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 BFXOW THIS LINE
(Ward) (Date)
AFTER APPROVAL, THIS APPLICATION IS TO BE FORWARDED TO COUNCIL SKRVICES BY THE ALDERMAN. AT THE TIME THE DISABLED SIGN REMOVAL ORDINANCE IS INTRODUCED.
The City of Chicago - Departmentof Revenue P.O Box 803100 ATTN: Disabled.Permitting Section Chicago, 1L. 60680-3100 Phone; 3.12.744,PARK (7275)
Revised: 4/24/2019