City of Commerce
Public Works Department
Request to Appeal to Traffic Commission
Screening Phase Denial of a Disabled Blue Curb Parking Space NOTE: Per the Policy and Procedures for On-Street Physically Challenged Accessible Parking Space, you must file this appeal to the Public Works Department no later than fourteen (14) calendar days from the date of the denial letter.
Name of Person Requesting Appeal: _________________________________________________ _________________________________________________
Address: _______________________________________
City: Commerce Zip Code: 90040
Telephone: _______________________________
E-mail Address: _____________________________
Identification Provided: Resident Activity Card
(Current & Valid)
California Driver’s License or California I.D. Card Reason for appeal:
_______________________________________________________________________________________ _______________________________________________________________________________________ I hereby request an appeal to the Traffic Commission for reconsideration and to overturn the denial of my application, thereby granting me the disabled blue curb parking space for the location above.
I certify that the responses contained in this Application Form are true and correct to the best of my knowledge and that I have read and understand the Policy and Procedures for On-Street Physically Challenged Accessible Parking Space.
Requestor’s Signature: __________________________________________ Date: ______________ * * * * * * * * * * * * * * *
NOTE: You will be notified of the next Traffic Commission meeting in which this appeal will be heard. You will be invited to attend the Traffic Commission meeting to express your views.
PUBLIC WORKS DEPARTMENT
DATE RECEIVED:
________________________
_______________________________________________________________________________________ _______________________________________________________________________________________ V 2022.04.06