DISABLED PERMIT PARKING
REMOVAL APPLICATION
FOR SIGN REMOVAL REGARDING PROHIBITED PARKING
EXCEPT FOR DISABLED PERMIT NUMBER
13-7 I
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NAME OF DISABLED INDIVIDUAL: /l/6)'//^- f^^C&b
REMOVAL. LOCATION OF DISABLED PARKING SPACE REQUESTED:
{ Plea.se print or typs current, sign location addrefefe.)
CHICAGO, ILLINOIS (ZIP CODE) kOh^f (PHONE NUMBER)__
REASON FOR REMOVAL: l/^cV^T ho/TH^ /a]P 0 Mt P/hd<&
ILLINOIS VEHICLE LICENSE NUMBER:____________
(W or V plates)
ILLINOIS DISABLED PLACARD NUMBER:
( Secretary of State Disabled Placard) CERTIFICATION: THE ABOVE INFORMATION IS CORRECT TO THE
BEST OF MY KNOWLEDGE: 7 3
. II Signature of Applicant) FORWARD THIS COMPLETEItyAPPLICATION TO YOUR ALDERMAN
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( Aldermanic Signalure )
_____ _2_3t£___
( Ward ) ( Date )
AFTER APPROVAL, THIS APPLICATION IS TO BE FORWARDED TO COUNCIL SERVICES, BY THE ALDERMAN, AT THE TIME THE DISABLED SIGN REMOVAL ORDINANCE IS INTRODUCED. . _........
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