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Record #: O2011-1678   
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. 67801
Sponsors: Schulter, Eugene
Topic: PARKING - Handicapped
Attachments: 1. O2011-1678.pdf
Related files: SO2011-3566
Mar 08 20%1 10:54RM HP LASERJET FRX

APPLICATION FOR DISABLED PARKING SIGNS PLEASE READ THE FOLLOWING CAREFULLY BEFORE COMPLETING THE FORM
67801
An applii'aiiu.1 '.viii nr;f oe corw.dert.'ri compile unlpss: AG lines ot tho application have bsen completed in full;
A check or money order tor $70.00 made payable to tne Cily cl Chicago is auatnittad s$ payment or tn« application tee:
Ptease riote: The application tee snail be waived for any person holding n vahd, current d;sabied veis r.sr.&-pcaio. • CNsabtity mwsi be permanent as evidenced by a copy of vow valid disabled ptestrd and.'or curr-wii veiade respiration
suiNTinted at the time of aviation: » Proof of residency, in the form of a oopy o# your drivers heanstr, state idenf.fsca'.ie'i ui t,stime of sppfical'on.
Crwnplehad application forms may tw raturned to: the office v" yew aiderman. any C*i«y or Chicago Ofepartrowit of P«vt'.irtg Section. A $20.00 mawitertange fee wifi be billed to you annually. Should yon have questions or rancerns. ptease call our pemrwt p"ct»3si«1. Usttj of Birth
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City Slicker :
i 10 Description ot Medtial Condtton ano Disability
• Alternative Parking^toaso role your Bppitc&w.i

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I 11. is trwn? ofi-siroet parking avaBabte ar your primary resiwtencc ' ('. ii- gatagc. car port, aiiwcway, etc)? _
be deniad if yoti hav» ato?iwiliv« «cco»c...

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