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Record #: O2011-1571   
Type: Ordinance Status: Passed
Intro date: 3/9/2011 Current Controlling Legislative Body: Committee on Traffic Control and Safety
Final action: 5/4/2011
Title: Handicapped Parking Permit No. 16460
Sponsors: Burke, Edward M.
Topic: PARKING - Handicapped
Attachments: 1. O2011-1571.pdf
Related files: SO2011-4259
City of Chicago Richard M. Daley, Mayor
Department of Revenue
Bea Reyna-Hickey Director
City Hal], Room 107 121 North LaSalle Street Chicago, Illinois 60602 (312) 747-4747 (IRIS) (312) 744-0471 (FAX) (312) 744-2975 (TTY)
 
BUILDING CHICAGO TOGETHER
DISABLED PERMIT PARKING
REMOVAL APPLICATION
FOR SIGN REMOVAL REGARDING PROHIBITED PARKING EXCEPT FOR DISABLED PERMIT NUMBER        /& &
( Please print or type.)
NAME OF DISABLED INDIVIDUAL:
REMOVAL LOCATION OF DISABLED PARKING SPACE REQUESTED:
SO/<T  S -  Ckfasfr*^     ■        " _.
(Please print or^type current sign location address.)
CHICAGO, ILLINOIS (ZIP CODE) \$j/h%* (PHONE NUMBER) -7/3 • °?<f' 0
REASON FOR REMOVAL:   \^ Lufly/ — &VHL>U£ [ndulidufit
ILLINOIS VEHICLE LICENSE NUMBER:   \l^\Clf\QM '
(W or V plates)
ILLINOIS DISABLED PLACARD NUMBER:
■ ( Secretary of State Disabled Placard )
CERTIFICATION: THE ABOVE INFORMATION IS CORRECT TO THE
i
BEST OF MY KNOWLEDGE .-X' \fLoQ^ 7?J-4p^ _
( Signature of Applicant)
FORWARD THIS COMPLETED APPLICATIONS YOUR ALDERMAN.
APPLICANT: DO NOT WRITE BELOW TgflS LINE ALDERMAMC CERTIFICATION:
(Aldermanic Signature )
S/O2J1)
 
(Wa/d)
(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