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Neighborhood Traffic Calming Application

Primary Contact Phone Number

Primary Contact Email

Alternate Contact

Alternate Contact Phone Number

Alternate Contact Email

Primary Street of Concern

Additional Information

Is the street located in a neighborhood that is part of a Homeowner's Association?

Yes

Do you have additional streets of concern?

Yes

Please list additional streets of concern:

What traffic problems have you identified affecting the above street(s)? Please be specific, if possible, with exact locations, times of day, and days of week:

Is school traffic a factor in your traffic problem?

Yes

How long has the traffic problem existed?