Traffic Safety Request Application
Jul 12, 2024
submission
#122
Application Form
A. Contact Information
| Full Name | silbina lepe |
| Phone Number | 3104880206 |
| Address | 605 E Colorado Blvd, Monrovia CA 91016-5941 |
| E-Mail Address | [email protected] |
| Contact Preference |
B. Location and Concern
| Requested Street | 605 E Colorado Blvd |
| From | California |
| To | Shamrock |
C. Type of Concern
| Please select your concern | Speeding |
| Describe your concern | Many cars speed on the long stretch of block. A car ran over our dog. I am always cautious pulling out of my driveway due to speeding cars while there are parked cars on both sides of driveway. |
Signature
| I agree to the above statement and affirm the validity of everything I have entered in this application. | I agree. |