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This record contains private information, which has been redacted from public viewing.
Record #: O2011-1622   
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. 77760
Sponsors: Zalewski, Michael R.
Topic: PARKING - Handicapped
Attachments: 1. O2011-1622.pdf
Related files: SO2011-3566

APPLICATION FOR DISABLED PARKING SIGNS PLEASE READ THE FOLLOWING CAREFULLY BEFORE COMPLETING THE FORM
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An application will.not'be considered complete unless:
• All lines of theiapplication have been completed in full;
• A check or money order for $70.00 made'payable td 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 at the time of application;
Proof of residency, in the form of. a copy of your drivers license, state identification, or utility bills are submitted at the 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 billed to you annually. Should you have questions or concerns, please call our permit processing division at 312-744-PARK (7275).:
1. "Date of Birth
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2. State Identification Number
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3. Drivers License Number
4. Applicant Last Name
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First Name
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5. Home Address (primary residence)
STREET NUMBER
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STREET NAME
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ZIP CODE
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Address where signs will be posted
STREET NUMBER
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7. Phone Numbers
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8. Current Permanent Disabled Placard Number Registered to Relationship to Applicant

9. Current License Plate Number Registered to City Sticker No. Relationship to Applicant

10. Description of Medical Condition and Disability
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Alternative Parking: Please note your application may be denied if you have alternative acc...

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