JANUARY 13, 2011 CITY COUNCIL
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION 1. PROHIBITION AGAINST PARKING (EXCEPT FOR DISABLED)
NAME OF APPLICANT:
PRIMARY STREET ADDRESS:
LOCATIONS OF SIGNS TO BE POSTED:
PERMIT NUMBER:
HOURS:
DAYS:
INGE M. BEHRENS 6222 N. CAMPBELL 6222 N. CAMPBELL 73518
AT ALL TIMES NO EXCEPTIONS
SECTION 2. This ordinance shall take effect upon its passage and publication.
APPLICATION FOR DISABLED PARKING SIGNS PLEASE READ THE FOLLOWING CAREFULLY BEFORE COMPLETING THE FORM
73518
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 pf 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 60680J3100, 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. State Identification Number
3. Drivers License Number
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6. Address where signs will be posted
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