Traffic Safety Request Application
Jul 19, 2023
submission
#57
Application Form
A. Contact Information
| Full Name | Shelly Thompson |
| Phone Number | 6268410956 |
| Address | 766 W Foothill Blvd, Monrovia CA 91016-1902 |
| Contact Preference |
B. Location and Concern
| Requested Street | Sunset Place |
| From | Sunset |
| To | Foothill |
C. Type of Concern
| Please select your concern | Visibility Concern |
| Describe your concern | Large vehicles blocking driveway exit of complex |
| Attach Images |
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Signature
| I agree to the above statement and affirm the validity of everything I have entered in this application. | I agree. |