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z <br />REQUEST FOR SPEED ZONE <br />[/�� <br />To be completed by applicant <br />4 Name: arciA t ��tAL4- Date of Application: Ck (& L61? <br />Address: Zq/( <br />_/jfJet &/ A 299W&- Daytime Phone: <br />Name of road to be considered: <br />Approximate limits of request (Nearest cross streets/intersections or other identifiable landmarks) <br />� <br />%A-nr F<!n� !� 3,7 7 a E iAni ny V� <br />Reason for request: 7 a- ,e C. 15- DR oy iE LA -,A--1 1F S T u Ris <br />6: rV TE R En./ C .� s o, n/ iN-/ S . G M7 e r_r> 5TP- C= i I! r -f- 6 F <br />�. o,4 D. �Ea PAF A -2F Tu ST G 1A/G Tb r—,4 -.T <br />Proposedsolution(s): C1rrfrnr&F %,-F 5`Pr&6 a uwr� i v 35`n4PN <br />G YIG Rj r/F 6 M 7 -IR E_P/5rA-W e <br />.................................................................., <br />Incomplete applications will be returned to applicant for re -submittal. Response to applicant will be within 4.weeks...f.rom...receipt...o <br />of complete applications UNLESS the applicant is notified of need for extension by Department of Public Works. (weather or <br />other seasonal conditions may influence timing of speed studies).Applicant will be notified in writing of results of the speed <br />study and the recommended action. <br />I have read ajunderstand <br />atement bove: <br />Signature of aDate: A I RG Eng ies <br />