PETITION FOR STREET LIGHTS - City of Freeport

TO: Public Works Director
CONTACT PERSON:
PHONE:
DATE:
PETITION FOR STREET LIGHTS
CITY OF FREEPORT
PUBLIC WORKS DEPARTMENT
LOCATION: _______________________________________________________
We, the undersigned, respectfully request the installation/upgrade of Street Lights at
the location specified above. We understand that the City of Freeport will approve or
deny this request based on the Street Lighting Policy Resolution. Furthermore, we, the
undersigned, understand that we may be requested to grant an easement to
Commonwealth Edison Company to allow the installation to proceed.
SIGNED:
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NAME ADDRESS PHONE
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RECEIVED______________________BY______________________________

I have followed the petition requirements of notification of residents within the one-half
block of the requested lighting change as per the instructions detailed to me by the
Public Works Department.
Signed:
________________________________________________________(Petitioner)