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foreword - City of Pickering

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FIGURE 2<br />

Traffic Calming Request Form<br />

DATE: _______________________<br />

NAME: _______________________________________ PHONE NUMBER: ____________<br />

ADDRESS: ___________________________________________________________________<br />

DESCRIBE WHICH STREET(S) ARE AFFECTED AND WHAT IS THE TRAFFIC<br />

RELATED PROBLEM(S). PLEASE INDICATE HOW YOU BELIEVE THAT THE<br />

INSTALLATION OF TRAFFIC CALMING MEASURES MAY HELP:<br />

______________________________________________________________________________<br />

______________________________________________________________________________<br />

______________________________________________________________________________<br />

______________________________________________________________________________<br />

______________________________________________________________________________<br />

______________________________________________________________________________<br />

______________________________________________________________________________<br />

______________________________________________________________________________<br />

______________________________________________________________________________<br />

______________________________________________________________________________<br />

______________________________________________________________________________<br />

______________________________________________________________________________<br />

______________________________________________________________________________<br />

______________________________________________________________________________<br />

THIS AREA FOR ADMINISTRATION USE ONLY<br />

DATE APPLICATION ISSUED: ________________________ BY: ____________________<br />

DATE APPLICATION RECEIVED: _____________________ BY: ____________________

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