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APPLICATION FOR DISABLED PARKIMG SIGNS PLEASE BEAD THE FOLLOWING CAREFULLY BEFORE COMPLETING THE FORM
T-064 P 001/002 F-246
Ar. app'.cp.Jioi w:ii not be
considered compl&ts un.pss: -4-' _ I 4tr r7T7 "5 Q 1 iiicr. nsve c«en ccmpititooin full; '
¦;s of trie nppiicaticr
i:K or money order lor S7C.CC made payable to the Cr.y ot Chicago is , jtomlwrtl as p^/mont rj :<>,. .•< >•
e note. Tn;.' applicatior, ies sr.ail oe waived for anv person I'lOiarv) a v: lu'l, cu'.'*nt a-sabloc vofcrar.c !i»y must ce p« mar erst as svidsncso by a copy of y-cur vatic cisafclec afcsca'rt ?>rid/or.tui/e.-i« w^ta* ji*" scurWitlfrd the tnnt> o: application-
of residency, to Ihe form oi r> copy of you: drivers ibsnse, statu idwiti:>:.-<>;»Ort. cr utiwy Mis >ir.i (Uir.niftfld si itu: )t a.opiica'iio'i.
Compleiecj aypiieaticn forms rr.ay b£ reiumec to' (he office oi your alccrmfuv aiv Ciy ot Clticatp Dspur.-rrfai-.t ol
facility, or
ir;-C Will bi.
(7275).
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via mat! a! PO. Box e03lOO. Chicago. IL. S055C-31O0 ATTN: Disables Pt-frulUinte S*-.<;liOfi. A*2E\O0 '(i,:;(;':0.i-;ii>'. billed U> you ar.rtcaliy. S'~ouid you nave questions or concents. f:!t.'i-: call cw permit (:-rc.-.'^5E2. S'.a:'; id*vj!:£3tto.-. Nurncc-r
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