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2. 
3. Traffic Calming Application for Residential Neighborhoods
5. Prior to submission of an application, the applicant must meet with the City of Glenn Heights Police Department staff to discuss eligibility requirements, the primary affected area of impact, the evaluation procedure and the implementation process. A completed application with a petition must be submitted to initiate the evaluation of the request.
7. Submittal Date
9. Neighborhood
   Please add subdivision name and street name
11. Brief Description of Traffic Calming Request
    (Please include Street Name and address, limits of requested Traffic Calming device, attach a map with limits of the desired Traffic Calming area clearly identified.)
13. Reason for Request
    Attach an "Applicant's Statement" to this application detailing the reason for the requested Traffic Calming device.
15. Applicant Petition
    The City will provide a petition form that must be signed by at least 51% if the property owners in the primary affected area as determined by the City to initiate a review of the request. Please attach a copy of the petition here.
17. Applicant/ Contact Person
20. Title (if applicable)
22. Address
24. City
25. State
26. Zip Code
28. Email Address
30. Phone Number
31. Fax Number
33. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
35. Electronic Signature
Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit Submit and Print

* indicates a required field