Traffic Safety Request Application
Sep 17, 2024
submission
#139
Application Form
A. Contact Information
| Full Name | Vivian Seki |
| Phone Number | 6265334663 |
| Address | 311 W Palm Ave, Monrovia CA 91016-2727 |
| E-Mail Address | [email protected] |
| Contact Preference |
B. Location and Concern
| Requested Street | Palm Avenue |
| From | Palm Avenue |
| To | Magnolia Avenue |
C. Type of Concern
| Please select your concern | Speeding, Other |
| Describe your concern | Lack of visibility to safely drive across Magnolia Avenue due to speeding cars and obstructed views because of cars parked along street. There have been many accidents at this intersection. |
| 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. |