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2. Neighborhood Information
4. Name of Neighborhood / Area
6. Applicable Streets
8. Contact Information
10. Applicant Name(s)
11. Phone
13. Email
15. Applicant Address
17. Reason for request

    Check all that apply.

    1. Cut Through Traffic
    2. Parking Problems

    1. School Related
    2. Speeding

    1. Pedestrian Safety
    2. Other
19. Other
21. Concurrence to Initiate the Neighborhood Traffic Management Program
23. Is there an active Homeowners Association (HOA) in this neighborhood?

    
    - If yes, then a letter of support from the HOA Board or Management Agency to initiate a Neighborhood Traffic Management Program must be submitted with this application.
    - If no, then a letter of support to initiate a Neighborhood Traffic Management Program from a minimum of 25% of affected neighborhood, an area within the boundary delineated on the attached must be submitted with this application (see Sample Letter attached).

    1. Yes
    2. No
25. Sample Initiatino Letter
    Sample Initiation Letter (PDF)

    View a sample initiation letter from a neighborhood without a Homeowners Association.
27. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I Agree
29. Electronic Signature*
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field