Traffic Safety Request Application
Nov 23, 2022
submission
#13
Application Form
A. Contact Information
| Full Name | Tina Marquez Herzog |
| Phone Number | 6268621007 |
| Address | 353 Patterson Dr, Monrovia CA 91016-1651 |
| E-Mail Address | [email protected] |
| Contact Preference |
B. Location and Concern
| Requested Street | Hillcrest Blvd. |
| From | The northeast corner |
| To | Patterson Drive |
C. Type of Concern
| Please select your concern | Visibility Concern |
| Describe your concern | I cannot see oncoming traffic from the east on Hillcrest Blvd. As I pull out to turn from Patterson Drive. |
Signature
| I agree to the above statement and affirm the validity of everything I have entered in this application. | I agree. |