Traffic Safety Request Application
Jul 31, 2024
submission
#124
Application Form
A. Contact Information
| Full Name | Patrick Mok |
| Phone Number | 6265066665 |
| Address | 1847 6th Ave, Monrovia CA 91016-7766 |
| E-Mail Address | [email protected] |
| Contact Preference |
B. Location and Concern
| Requested Street | 6th Avenue from Duarte Road junction to our 6th Residences Driveway |
| From | Duarte road / 6th Avenue Junction |
| To | 6th Avenue Residences driveway on both sides of the driveway |
C. Type of Concern
| Please select your concern | Speeding, Visibility Concern, Parking Concern |
| Describe your concern | Severe obstruction of road view by cars parked on both sides of our driveway entrance and by dumpster indiscrimately placed outside our driveway entrance |
| 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. |