MEMORANDUM FOR TRAFFIC REGULATIONS
OVERRIDE
PROHIBITION AGAINST PARKING (Except for the Handicapped):
Street, etc:
West 73rd Street
Location, etc:
No. 3525
(Permit No. 65653)
Distance or extent:
Hours:
at all times
Days:
no exceptions
ADELA GAMEZ
xONALANE Alderman, 18th Ward
APPLICATION FOR DISABLED PARKING SIGNS PLEASE READ THE FOLLOWING CAREFULLY BEFORE COMPLETING THE FORM
65653
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 note1 The application tee shall be waived tor 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).
2 State Identification Number
o"0T na-T .rTb IS&MoTowfrWjWVp.
1. Date of Birth
MO ^_ DAY
3. Drivers License Number
4. Applicant Last Name
\6\(x\(f\\e\7Ml
First Name
5. Home Address (primary residence)
_ STREET NUMBER | DIR. STREET NAME , - I
3i5>iri li/.l7i3iTh/i ifliTirieiafi
| ZIP CODE
6. Address where signs will be posted
DIR. I STREET NAME
STREET NUMBRR. I DIR. I STREET NAME . m_ .
3 If I >l TI W.l 713 W fafJ Ifil'f ir \& £ \f\ I I
, WARD NUMBER
7. Phone Numbers
Home
7i?i1tVi7i/tVi3
i. Current Permanent C
8. Current Permanent Disab...
Click here for full text