MEMORANDUM FOR TRAFFIC REGULATIONS
OVERRIDE
PROHIBITION AGAINST PARKING (Except for the Handicapped):
Street, etc:
East 83rd Street
Location, etc:
No. 1136 A
(Permit No. 71018)
Distance or extent:
Hours:
at all times
Days:
no exceptions
WAYNE GILES
MICHELLE A. HARRIS^ Alderman, 8th Ward
APPLICATION FOR DISABLED PARKING SIGNS PLEASE READ THE FOLLOWING CAREFULLY BEFORE COMPLETING THE FORM
7101E
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 tnJhp nity.-oU^faiftftgn k Miinniiii'ii ,v, pnyrriHaLnf }hp 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
MO „ _ DAY
2. State Identification Number
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3. Drivers License Number
4. Applicant Last Name
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First Name
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5. Home Address (primary residence)
STREET NUMBER DIR. STREET NAME
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6. Address where signs will be posted
STREET NUMBER . DIR. STREET NAME
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