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This record contains private information, which has been redacted from public viewing.
Record #: O2011-1614   
Type: Ordinance Status: Passed
Intro date: 3/9/2011 Current Controlling Legislative Body: Committee on Traffic Control and Safety
Final action: 4/13/2011
Title: Handicapped Parking Permit No. 77751
Sponsors: Zalewski, Michael R.
Topic: PARKING - Handicapped
Attachments: 1. O2011-1614.pdf
Related files: SO2011-3566

APPLICATION FOR DISABLED PARKING SIGNS PLEASE READ THE FOLLOWING CAREFULLY BEFORE COMPLETING THE FORM
77751
An application will not be considered complete unless:
• All lines of the application have been completed in full;
• A check or money order for $70.00 made payable to the City of Chicago is submitted as payment of the application fee; Please note: The application fee shall be waived for any person holding a valid; current disabled veterans plate. Disability must be permanent as evidenced by a copy of your valid disabled placard and/or current vehicle registration submitted al the time of application;
• " Proof of residency, in the form of a copy of your drivers license, state identification, or utility bills are submitted a; ihe
time of application. .
Completed application forms may be returned to: the office of your alderman, any City of Chicago Department of Revenue :¦, facility/or via mail at P.O. Box 803100, Chicago, IL 60680-3100, ATTN: Disabled Permitting Section. A $25.00 maintenance. ^ fee will be billedto you annually.- Should you have questions or concerns; please call our permit processing division at 312-744-PARK (7275).
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4. Applicant Last Name M \k\0 O I I I I I I I I I I I Ml s First Name AlUPl HolMlsl ulSI 1 1
5. Home Address (pr STREET NUMBER mary DIR. w residence) STREET NAME II ZIP CODE MH|Tlhl IS IT |R t'if 1 1 1 1 1 1 1 \(o 10 g $
6. Address where sig STREET NUMBER ns w DIR II be posted STREET NAME |, WARD NUMBER Ml......1 \lfh
7. Phone Numbers Home "7 1"? |3 T^llo D T SIC* M p Business
8. Current Permanent Disabled P...

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