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CITATION ADMIN
HAUL m ,Ul
CityofChiwjro Richard M. Daltf, Mayor
Dtparorait of Revenue
BtAReyna-Hitty Director
CrryHiB, Room 107 l2L.Hur!l)XjSBlkSln:a Chicago, Illinois 60602 (312) 3.47-4747 (I!US) (112) 744-0475 (FAX) (312) 744-2975 <ITY)
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Raymond Traylcr 11361 SBinbBthSI Chicago, IL 60643
DISABLED PERMIT PARKING
REMOVAL APPLICATION
FOR SIGN REMOVAL REGARDING PROHIBITED PARKING EXCEPT FOR DISABLED PERMIT NUMBER ) ^0 Jl Cf
(Please print or type.)
NAME OF DISABLED INDIVIDUAL; M a 4 J?W <. H -V £>Q>N f REMOVAL LOCATION OF DISABLED PARKING SPACE REQUESTED:
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( Please print or type current sign location address. )
CHICAGO, ILLINOIS (ZIP CODE) '^^iftPHONE NUMBER)
REASON FOR REMOVAL:/^,, fs,?<.AL /. s,L**sj*f± O v(L$K ^ ILLINOIS VEHICLE LICENSE NUMBER: S/^cA r A it
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ILLINOIS DISABLED PLACARD NUMBER: ASP (?LHtC?>
(Secretary of Slate Disabled Placard)
CERTIFICATION; THE ABOVE INFORMATION IS CORJRECT TO THE
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BEST OF MY KNOWLEDGE ^
Kigiiatute. of-Applies*^) ^pW^mTHlS .COMPLETED APPLICATIOMTO YOTJR Al^ERMAN.
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AJdcmanic Signature )
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AFl-ER AEEROVAL. THIS APPLICATIQN IS TO'BEFCR'WARDED TO COUNCIL SERVICES.BYTH5 AL'DEKMA'N. ATT 'f^rJETIME TKESSISASLED SIGN T^EMOYAX-ORD^A^CTTS'E^RJSDUCED .
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