Traffic Safety Request Application
Oct 06, 2024
submission
#143
Application Form
A. Contact Information
| Full Name | jerry acker |
| Phone Number | 6266889343 |
| Address | 1048 Norumbega Dr, Monrovia CA 91016-1833 |
| E-Mail Address | [email protected] |
| Contact Preference |
B. Location and Concern
| Requested Street | 1048 Norumbega Ave. |
| From | 1040 Norumbega Dr |
| To | 1054 Norumbega Dr. |
C. Type of Concern
| Please select your concern | Visibility Concern |
| Describe your concern | Parked vehicles block safe ingress and egress from both driveways at 1048 Norumbega Dr. |
| Attach Images |
Traffic Calming Application 10-4-24.pdf,  , .jpg?disposition=attachment "IMG_7667 (002).jpg") ,  , 
|
Signature
| I agree to the above statement and affirm the validity of everything I have entered in this application. | I agree. |