MEMORANDUM FOR TRAFFIC REGULATIONS
OVERRIDE
PROHIBITION AGAINST PARKING (Except for the Handicapped):
Street, etc:
South Bell Avenue
Location, etc:
No. 3357
(Permit No. 77449)
Distance or extent:
Hours:
at all times
Days:
no exceptions
ELIAS AVALOS
Jar*. 06 H011 10:01PM HP LASERJET FAX
773-523-8440
P-2
APPLICATION FOR DISABLED PARKING SIGNS PLEASE READ THE FOLLOWING CAREFULLY BEFORE COMPLETING THE FORM
77449
An apptteatton wis not be considered complete unless:
• All fines of the application have been completed in full;
• A check or money order tor $70.00 made payable to ttMj City ol Chicago is submitted as payment of the appiaoatwn foe; Ptease note; The application fee shaft be waived lor any person, holding a valid, curront disabled veterans ptafe-
• D!8«bi% must Iw permanent as evidenced by a copy of your valid disabled placard and/or current vehicle wgtelratfori submitted at the time of application;
« Proof of residency, in liw form of a copy of your drivers license, state identification, or utility bate are submitted at the tirno of application.
Completed application forms may tou returned lo: lhe office of your alderman, any City of Chicago Defwrtmertf of Revenue faciSly, or via mail at P.O. Box 803100, Chicago, IL 60680-3100, ATTN: Disabled Permitting Section. A $25,00 maintenance fee wrS be billed to you aniuiaiiy. Should you have questions or concerns, plesase call our permit processing division at 312-744-PARK (7275).
1. Date of Birth
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5. State Ittefitrftcatjcn Number
4. Apphoant Last Namo
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3. Drivers Licfirwd Nim>ber ;
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6. Addn&aa mrtwiio signs w3t bo pasted
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7. Phoiw Numbers
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8. Current Permanent Dfcsacie-d Placard Number
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Business
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