Traffic Safety Request Application
Sep 22, 2023
submission
#72
Application Form
A. Contact Information
| Full Name | Oscar cheung |
| Phone Number | 6263807150 |
| Address | 715 west Duarte road, unit b, Monrovia |
| E-Mail Address | [email protected] |
| Contact Preference |
B. Location and Concern
| Requested Street | West Duarte road |
| From | 710 |
| To | 726 |
C. Type of Concern
| Please select your concern | Visibility Concern, Parking Concern |
| Describe your concern | 1: car parks at fire hydrants, 2: being the only stretch of green zone alone Duarte attracts more cars blocking residents viability going in and out the community |
| 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. |