Feb 16 2011 11:44PM ward40
773-769-3804
p.3
;.<;,ai
APPLICATION FOR DISABLED PARKSfIG SKaNS^ F^T""768a9 PLEASE READ THE FOLLOWING CAREFULLY ' £j£Lr.V ^ j-o'J EEF^QHE COMPLETl^'TOS-iPOBM- . f;^.W^>^JS
Art application **r8 not t>» correi^r^.cotTipJeto uoiasB:
* Ail fines of lft* application have been awnptetetf jr. foH;
* A chaclt or morwy order .for $70 00 'treads frayaibte to trie City of Chicago ia auftrrsiafcd as payment or the application tee Piease note: The application las snail be w&vsti for any parson hekiiriQ « vaW. currant cisabfoa vtuwaos p»ic. Disability musi 0* p»rm«iner,l as evidence*} by a copy of your void dfsabJw) p»ftc^ft5 &fldAs cwresjf vehide repeatason suDmateaJ at the lime of appScattoo;
* Proof of residency. in'the-fartnof*copy c* yr*"' drtvew licfims, atefe. icterififfcatlort, or titBfey bfe aira subm&ad at the time erfappliraiten-.
Contctetdd application toona may be returned to: Ihe office ot your alderman. ar»y CKs of Chicago DepartrnectJ of ftevsnua faccftty, or via ma Hat P.O. Box 803100. Chicago. iL 80080-3.100. ATTN: Disaoleci Permitting Section A S2S.O0 thajatenanne fee wftt b» fciftwi te. you annually. Siiouftf you have cjirastions or concerns, Dteasa cut our permit processing laws-ion
1. tmn ocBiiih -t. Aj.fii'-^tf!! Hast was*
6 !3
. j....!..
Stale kfentificsiton Number
; T ! I : T !
¦j- Dnwfi? i.'.N>ns* Numb*?'
J Ml I fits! Njwvi*
HI.14.J. I. P. J i* L*J;* _:;i.]
Jji^|gJ*M- J i _L_L J.....\ f
f. \k W ;f * I, W lft K Ir E- I^IUAIMI.....IMOLLJ^J^
i . i
1J_1_L-L1.....I
fi. Acfctr&ES where signs w>f cs posted
&r> |STr.|- |rtTA|gir iE IS! / iftjiV:! ¦[ j \ ;
7; Pm?» tiusmam Horn? } Qwmzsv
l±J.„l..J..i:.ii5^£:J._.j
>2
__________________IJ_511J?.4.?.......l^J^.LL.......L.
¦6. Cunwtt Permanent Disabled ffecaw* Nuir*»r i ^^iitorod lo
1 \'l | 3 i A "7|1010|.__^fSL^M_....._________
4 | 7 i
ftoatsonatsip 5a Aj:p5C5r>r 3''£ i-P
Ragiiuered to
! City SlKli.Gr Mo.
¦10...
Click here for full text