Gty of Chicago Richard M. Daley, Mayor
Department of Revenue
Bea Reyna-Hickey Director
City Hall, Room 107 121 North LaSalle Street Chicago, Dlinois 60602 (312) 7474747 (IRIS) (312) 744-0471 (FAX) (312) 744-2975 (TTY)
DISABLED PERMIT PARKING
REMOVAL APPLICATION
FOR SIGN REMOVAL REGARDING PROHIBITED PARKING EXCEPT FOR DISABLED PERMIT NUMBER ^87 ^
(Please print or type.)
NAME OF DISABLED INDrvTDUAL\S^^/r'/^> /%t REMOVAL LOCATION OF DISABLED PARKING SPACE REQUESTED:
(Please print or type current sign location address.) ~77^) CHICAGO, ILLINOIS (ZIP CODE^^^fPHONE NUMBER) i5&/'33</7 REASON FOR REMOVAL: Q>&&_
ILLINOIS VEHICLE LICENSE NUMBER:
(W or V plates)
ILLINOIS DISABLED PLACARD NUMBER:
( Secretary of State Disabled Placard) CERTIFICATION: THE ABOVE INFORMATION IS CORRECT TO THE
BEST OF MY KNOWLEDGE: cS^^" /^/T/^/^PZ?
(Signature of Applicant)
forward this completed application to your alderman.
applicant: do not write below thisj^lne ^ aldermanicTertif^^
Aldefmanic Signature ) (Ward) ( 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
Bess Sagartz
From:
Sent:
To:
Subject:
Past Resident Hadicap Parking Permit
Hi Bess,
Sorry for the confusion the two residents that have moved and no longer use their handicap spaces are:
#50656 - Latosca Dunklin #58748-Semen Magarychey
Thanks,
Conor Price
Pines of Edgewater
Property Manager
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