Visit www.fresno.gov/publicworks/ for more information on the City of Fresno’s Residential Speed Hump Program.
Residential Street Speed Hump 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 need for traffic calming 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:
_________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________
Neighborhood Petition
To be considered for traffic calming, you must obtain signatures from 75% 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 planning 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. This sheet is an optional form to your application.
Please return by June 30, 2022 to: City Traffic Engineer, Traffic Operations & Planning Division 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.
Speed Hump Request Petition
We the undersigned hereby petition the City of Fresno Public Works Department to perform the necessary evaluation and recommend that speed humps or other appropriate traffic calming measures be installed on:
________________________ from____________________ to _________________________ Your Street Cross Street Cross Street
By signing this petition,
• I agree to have a speed hump or other appropriate traffic calming measure installed in front of my residence/business if deemed the most appropriate solution by City of Fresno staff; and • My signature here counts as a “yes” to have a speed hump installed 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.
Speed Hump Request Petition
We the undersigned hereby petition the City of Fresno Public Works Department to perform the necessary evaluation and recommend that speed humps or other appropriate traffic calming measures be installed on:
________________________ from____________________ to _________________________ Your Street Cross Street Cross Street
By signing this petition,
• I agree to have a speed hump or other appropriate traffic calming measure installed in front of my residence/business if deemed the most appropriate solution by City of Fresno staff; and • My signature here counts as a “yes” to have a speed hump installed 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.
Visit www.fresno.gov/publicworks/ for more information on the City of Fresno’s Residential Speed Hump Program.
Residential Speed Hump Request Community Contacts (OPTIONAL) Please provide the names, addresses, and primary contact information for any schools, community centers, senior centers, parks and playgrounds on:
________________________ from____________________ to _________________________.
Your Street Cross Street Cross Street
Contact information for parks and playgrounds is not needed. Locations near schools and other community oriented facilities will receive increased consideration when evaluating your location.
Name of Facility
Type of Facility
(e.g. Preschool, Senior Center,
High School)
Address Contact Person & Title
(e.g. Principal) Email Address
Return with Residential Street Speed Hump Request Form no later than June 30, 2022.