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Street Light Request

2. STREETLIGHT PETITION REQUEST
   This form is to be completed by the petitioner wishing to have a streetlight added or removed from their street. Provide all details below and submit so we can review the requests and send you a Petition. The Petition shall be signed by 100 percent of homeowners on the affect block in order for the installation or removal process to begin.

   This form is to be completed by the petitioner wishing to have a streetlight added or removed from their street. Provide all details below and submit so we can review the requests and send you a Petition. The Petition shall be signed by 100 percent of homeowners on the affect block in order for the installation or removal process to begin.

6. Applicants Contact Information

8. Mailing Address*

10. Email*

11. Phone

15. Description of Request

17. Address*

19. Pole Tag Number

20. Upload Image

    Please upload an image or map of the location for the request.

Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field