Visit www.fresno.gov/publicworks/ for more information on the City of Fresno’s Residential Speed Hump Program.
Residential Speed Hump Removal Request Form
Primary Contact Information
__________________________
Name
____________________________________
Email Address
________________________
Phone Number
_______________________________________________ _________________ Street Address Zip Code
Specify the Location and Concerns
The City of Fresno will evaluate the request for speed hump removal on a block-by-block basis; a separate application must be submitted for any adjacent blocks. Please define your block:
________________________ from____________________ to _________________________ Your Street Cross Street Cross Street
Feel free to provide more detailed information about concerns on your street and reasons for removal:
_________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________
Neighborhood Petition
To be considered for removal, you must obtain signatures from 60% of the addresses on your block, using the petition form attached. One signature is allowed per address.
Signatures are required as part of the application process to ensure community support before the removal process begins.
Community Contacts (Optional)
Please use the attached sheet to provide the names, addresses, and primary contact information for any schools, community centers or senior centers on your block, and list any parks or playgrounds.
Please return by June 30, 2022 to: City Traffic Engineer, Traffic Operations & Planning Divi sion 2600 Fresno Street, Room 4064
Fresno, CA 93721
-- or – scan and send to [email protected]
Visit www.fresno.gov/publicworks/ for more information on the City of Fresno’s Residential Speed Hump Program.
Residential Speed Hump Removal Petition
We the undersigned hereby petition the City of Fresno Public Works Department to remove the speed humps installed on:
________________________ from____________________ to _________________________ Your Street Cross Street Cross Street
By signing this petition,
• I acknowledge I am aware and support the removal of speed humps on my block; and • I understand the removal of a speed hump is permanent and the speed hump will not be reinstalled on this block; and • My signature here counts as a “yes” vote for speed hump removal on my block.
Print Name Sign
(agree to statements above)
Address
(one signature will be counted per unit) Email Address
1 2
3 4
5 6
7 8
9 10
Return with Residential Street Speed Hump Request Form no later than June 30, 2022.
Visit www.fresno.gov/publicworks/ for more information on the City of Fresno’s Residential Speed Hump Program.
Residential Speed Hump Removal Petition
We the undersigned hereby petition the City of Fresno Public Works Department to remove the speed humps installed on:
________________________ from____________________ to _________________________ Your Street Cross Street Cross Street
By signing this petition,
• I acknowledge I am aware and support the removal of speed humps on my block; and • I understand the removal of a speed hump is permanent and the speed hump will not be reinstalled on this block; and • My signature here counts as a “yes” vote for speed hump removal on my block.
Print Name Sign
(agree to statements above)
Address
(one signature will be counted per unit) Email Address
11 12
13 14
15 16
17 18
19 20
Return with Residential Street Speed Hump Request Form no later than June 30, 2022.