Application for New Curbing and Sidewalk Improvements

Application for New Curbing and Sidewalk Improvements
(This application is NOT for repairs to existing curbing and sidewalk)

Note: All fields with * are required.
* Name
* Address
* Zip Code
* Phone Number (example: 540-853-2000)
* Type of Request (Check one or both)	Curb Sidewalk
* Location of Request: Please be as specific as possible; use street address where possible. (For example: 301 to 456 Main Street, SW, or Juniper Avenue between Aspen Street and Spruce Street)
Justification: Please explain why you are requesting curb and/or sidewalk.
Safety: Will new curb and/or sidewalk address a safety hazard? How?
Drainage: Is your request to solve a drainage problem? If yes, describe the problem and any damages that are recurring as a result of drainage problems.
Citizen/Neighborhood Support: Is anyone else on your street interested in curb and/or sidewalk? Please attach a list of names and addresses of those who would be affected. How many are in support of the project? Does anyone object?
Additional Comments:
Note: All fields with * are required.