Traffic Safety Request Application
Oct 23, 2024
submission
#148
Application Form
A. Contact Information
| Full Name | Sharron Motley |
| Phone Number | 9095220058 |
| Address | 1314 S Myrtle Ave, Monrovia CA 91016-4151 |
| E-Mail Address | [email protected] |
| Contact Preference |
B. Location and Concern
| Requested Street | 1314 S MYRTLE AVE |
| From | 1314 s. myrtle ave |
| To | 1314 s. myrtle ave |
C. Type of Concern
| Please select your concern | Speeding, Visibility Concern, Parking Concern, Other |
| Describe your concern | unable to see when exiting the parking lot at our location due to vehicles parking for 14 plus hours every work day |
| Attach Images |
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D. Residential On-Street Accessible Parking Application ONLY
| 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. |