Street Closure Request Form

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This form will be submitted to the Street Superintendent NO LATER than 30 Days prior to requested closure date.

The Street Superintendent will present requests to the Board of Public Works for their consideration and decision, then a call or email will be sent to the contact provided with the Board’s decision.

If the request is approved, logistical arrangements will be made to close the street(s) on the approved dates and times and notify Police, Fire and Building Services of the action.

* Denotes a required field

Please Do Not Complete The Following Field

Group or Indivdual Making Request*

First Name

Last Name

Phone Number*

Phone Area Code-Phone 3-Phone 4 ext Extension

Email*

Requested Street(s) to be Closed*

Purpose of Requested Closure*

Start Date of Requested Closure*

MonthDay Year,

Start Time of Requested Closure*

HourMinute : AM/PM

End Date of Requested Closure*

MonthDay Year,

End Time of Requested Closure*

HourMinute : AM/PM

Parties Against Potential Closure

Street Closure Request Form

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