Traffic Safety Request Application
Aug 29, 2024
submission
#137
Application Form
A. Contact Information
| Full Name | Raymond C Lee |
| Phone Number | 6267318666 |
| Address | 421 E Maple Ave, Monrovia CA 91016-3617 |
| E-Mail Address | [email protected] |
| Contact Preference |
B. Location and Concern
| Requested Street | California ave. |
| From | E maple ave. |
| To | Almond ave. |
C. Type of Concern
| Please select your concern | Speeding, Visibility Concern, Other |
| Describe your concern | Cars don't stop for pedestrians and children to nearby park and school. |
Signature
| I agree to the above statement and affirm the validity of everything I have entered in this application. | I agree. |