Traffic Safety Request Application
Dec 20, 2022
submission
#22
Application Form
A. Contact Information
| Full Name | Nikkie Rodriguez |
| Phone Number | 9096308285 |
| Address | 104 W Scenic Dr, Monrovia CA 91016-1654 |
| E-Mail Address | [email protected] |
| Contact Preference |
B. Location and Concern
| Requested Street | North Myrtle |
| From | East scenic drive |
| To | Hillcrest |
C. Type of Concern
| Please select your concern | Speeding |
| Describe your concern | People roll through stop sign at e. Scenic drive and myrtle, and speed down |
Signature
| I agree to the above statement and affirm the validity of everything I have entered in this application. | I agree. |