Traffic Safety Request Application
Feb 07, 2024
submission
#97
Application Form
A. Contact Information
| Full Name | Will Fernandez |
| Phone Number | 16268416299 |
| Address | 937 W Colorado Blvd Apt B, Monrovia CA 91016-6586 |
| E-Mail Address | [email protected] |
| Contact Preference |
B. Location and Concern
| Requested Street | Colorado blvd |
| From | 1st |
| To | Lincoln |
C. Type of Concern
| Please select your concern | Speeding |
| Describe your concern | Colorado Blvd is used as a drag strip endangering pedestrians, bicyclists, and people in their homes |
Signature
| I agree to the above statement and affirm the validity of everything I have entered in this application. | I agree. |