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NOTE: All sections must be completed. - Chicago

APPLICATION FOR DISABLED PARKING SIGNSNOTE: All sections must be Date of Birth2. Drivers License or State ID Number3. Applicant Last NameMI First Name4. Home Address (primary residence)6. Phone NumbersHome / CelltnacilppA ot pihsnoitaleR Registered toPermanent Disabled Placard Number ot pihsnoitaleR Registered toLicense Plate If alternative parking is available, why are you unable to access the space?13. Is this a permanent disability?Note: Permit is only available for permanent disability10. Is there off-street parking available at your primary residence?

APPLICATION FOR DISABLED PARKING SIGNS NOTE: All sections must be completed. 1. Date of Birth 2. Drivers License or State ID Number 3. Applicant Last Name MI First Name

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