Traffic Safety Request Application
Aug 03, 2023
submission
#63
Application Form
A. Contact Information
| Full Name | Tim Mitzlaff |
| Phone Number | 6269325562 |
| Address | 1 Acacia Ave, Monrovia, CA |
| E-Mail Address | [email protected] |
| Contact Preference | Phone |
B. Location and Concern
| Requested Street | Acacia Ave |
| From | W. Foothill Blvd |
| To | Oaks Ave |
C. Type of Concern
| Please select your concern | Speeding |
| Describe your concern | Speeding issues and an increase volume of traffic possibly resulting from the installation of pavement markings on Primrose Ave. |
Signature
| I agree to the above statement and affirm the validity of everything I have entered in this application. | I agree. |