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This record contains private information, which has been redacted from public viewing.
Record #: O2011-763   
Type: Ordinance Status: Passed
Intro date: 2/9/2011 Current Controlling Legislative Body: Committee on Traffic Control and Safety
Final action: 4/13/2011
Title: Handicapped Parking Permit No. 78136
Sponsors: Balcer, James
Topic: PARKING - Handicapped
Attachments: 1. O2011-763.pdf
Related files: SO2011-3566
 
Gtv of Chicago Richard M. Daley, Mayor
Department of Revenue
Hugh P. Murphy Director
Ctlr Hall. Room 107 121 North LaSalle Street Chicago. Illinois 60602 (Jl2*744-6146 (.»I2)74-M)47I (FAX) (Jlil7440«75 (TTVJ
hitp://*»-»v.cuhi.iLus
 
DISABLED PERMIT PARKING
REMOVAL. APPLICATION
FOR SIGN REMOVAL REGARDING PROHIBITED PARKING EXCEPT FOR DISABLED PERMIT NUMBER
(Please print or type.) NAME OF DISABLED INDIVIDUAL: £lv. A Sa1<,/^Jo
REMOVAL LOCATION OF DISABLED PARKING SPACE REQUESTED:
2CZ£>   £■     /"/o rVi A frl__
( Please print or type current sign locatioo address.) (-y-jf)
CHICAGO, ILLINOIS (ZIP CODE) 4ofj2 g   rpHONF. wtiMBERt Stt-t-ovo REASON FOR REMOVAL: JWOV^J 4o  2731 Lo- J NAME AND ADDRESS OF PERSON CURRENTLY BEING BILLED FOR ANNUAL SIGN MAINTENANCE FEE:
(Please provide information only iT billing information differs.) ILLINOIS VEHICLE LICENSE NUMBER;_
ILLINOIS DISABLED PLACARD NUMBER.
(W or V plates)
(Secretary of State Disabled Placard) CERTIFICATION: THE ABOVE INFORMATION IS CORRECT TO THE BEST OF MY KNOWLEDGE
(Signature oFApp
^Ll-
(Signature oFApplicant) FORWARD THIS COMPLETED APPLICATION TO YOUR ALDERMAN.
APPLICANT:  DO NOT WRITE BELOW THIS LINE__
ALDERMANIC CERTIFICATION:
 
(AJdermanic Stgnalj
(Ward)
(Date)
AFTER APPROVAL. THIS APPLICATION IS TO BE FORWARDED TO COUNCIL SERVICES. BY THE ALDERMAN. AT THE TIME THE DISABLED SION REMOVAL ORDINANCE IS INTRODUCED.
fl'lltilNC I'HIt'ACu MCCTMEl
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