Any applicant wishing to reserve a handicapped parking space in front of or near his or her residence on any street within the City upon which public parking is currently permitted shall submit a written request to the Zoning Administrator on a form drafted by the Zoning Administrator. This requirement shall not apply to any currently pending application submitted prior to the effective date of this Ordinance. Information on said form shall include:
1. The name, address and telephone number of the applicant.
2. The registration number of the handicapped or severely disabled veteran registration plate or placard issued by PennDOT to the resident or the applicant on behalf of the resident.
3. Proof of ownership of a vehicle by the applicant or the resident for whom the handicapped parking space is requested along with the make, model and license plate number of such vehicle.
4. A description of the physical impairment of the resident, a statement as to whether the impairment is permanent or temporary (if temporary, a detailed statement of the anticipated term of the impairment) and whether a device such as wheelchair, crutches or walker is used by such resident for locomotion. The applicant shall supply with the written request proof of the resident's asserted medical disability from a medical doctor, doctor of osteopathy or doctor of podiatry medicine (collectively, "physician"). The physician's statement must be signed by the resident's physician, must not be issued more than six months prior to the date of the written request and must specifically set forth the nature of the impairment, how the impairment limits the resident's mobility and the estimated duration of the resident's impairment.
5. The location of the requested handicapped parking space.
6. The names, addresses and telephone numbers (if listed in a published telephone directory) of adjacent property owners of all real estate sharing a common property line with the resident's.
7. Copy and proof of a valid driver's license issued to the applicant.