MEMORANDUM FOR TRAFFIC REGULATIONS
PROHIBITION AGAINST PARKING (Except for the Handicapped):
Street, etc:_South Clyde Avenue_
Location, etc:_No. 7632_(Permit No. 77492)_
Distance or extent:_g_
Hours:_at all times_
Days:_no exceptions_
WILLIAM O'NEIL
MICHELLE A. HARRIS Alderman, 8th Ward
APPLICATION FOR DISABLED PARKING SIGNS PLEASE READ THE FOLLOWING CAREFULLY BEFORE COMPLETING THE FORM
77492
An application will not be considered complete unless:
• All 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 of 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 at 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
2. State Identification Number
3. Drivers License Number
oin^iflmii£iM6i2.i0ift>
4. Applicant Last Name
@\Mmj\LFirst Name
v\i\um\AW\_
5. Home Address (primary residence)
STREET NUMBER j DIR. j STREET NAME
6. Address where signs wiffbe postea
6. Address where signs wince posted
STREET NUMBER I DIR. I STREET NAME
rl^KI^.I \3\i\u\y\D\cr\
¦ WARD NUMBER
7. Phone Numbers
7 I 7 I 3 1,-3 17 ly \SL If
8. Current Permanent Disabled Placard Number
a 17
Business
7 17
\i \j im r\n
plrj/
\
8. Current Permanent Disabled...
Click here for full text