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ÌÎßÚÚ×ÝÎÛÏËÛÍÌÚÑÎÓ <br />LOCATION OF REQUEST <br />__________________________________________________________________________ <br />__________________________________________________________________________ <br />__________________________________________________________________________ <br />____________ <br />STATE THE NATURE OF YOUR REQUEST: <br />__________________________________________________________________________ <br />__________________________________________________________________________ <br />__________________________________________________________________________ <br />__________________________________________________________________________ <br />__________________________________________________________________________ <br />______ <br />WHAT ACTION ARE YOU REQUESTING THE CITY TO TAKE CONCERNING <br />YOUR REQUEST? <br />__________________________________________________________________________ <br />__________________________________________________________________________ <br />__________________________________________________________________________ <br />__________________________________________________________________________ <br />__________________________________________________________________________ <br />______ <br />WHAT IMPACT WOULD THE ACTION HAVE ON ANY ADJACENT RESIDENTS OR <br />STREETS? <br />__________________________________________________________________________ <br />__________________________________________________________________________ <br />__________________________________________________________________________ <br />__________________________________________________________________________ <br />__________________________________________________________________________ <br />______ <br />NOTE: The Public Works Department staff will review this request and, if warranted, this <br />matter will appear as an agenda item for a traffic commission meeting. If a meeting is held, <br />you will be encouraged to attend so that you may state your concerns. <br />ÒßÓÛæÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁÁ <br />ADDRESS:________________________________________________________________ <br />____ <br />PHONE (HOME):____________________PHONE <br />(WORK):____________________________ <br />Date:___________________________________________________ <br />Please return completed form to the Secretary of the Traffic Commission, at the Public <br />rd <br />Works Department, 3 floor of the City Hall. Or, by mail/fax: <br />Mariela Tapia/Angelica Gutierrez <br />C/o Public Works Department <br />6801 Delmar Blvd. <br />University City, MO 63130 <br />(314) 862-6767 <br />(314) 862-0694 (fax) <br /> <br />