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ATTACHMENT B <br />INTEREST FORM TO THE CITY OF SANTA ANA <br />TO INSTALL SPEED HUMPS <br />STREET: FRO <br />(cross street) (cross street) <br />WHEREAS a speeding problem has been identified and confirmed on the above subject street segment; and <br />I, the undersigned, request the installation of speed humps on the above street segment. We understand that in <br />order for the City to consider installing speed humps; this interest form should have signatures (one per address) <br />in favor of the proposed speed humps from typically 75% of residences on this street segment. <br />I further understand that this street segment must meet all requirements outlined in the Standard Procedure for <br />Managing Speed on Residential Streets for the installation of the speed humps. <br />Contact Person: Daytime Phone: <br />Before you sign this petition, be sure yo understan the St ndard Procedure for <br />TE <br />ST FOR <br />Streets (attached). NOTE: �1PON I /JT EESTF� SA'2E DUE OI`(DA E)ILD <br />ADDITIONS, DELETIO1(CyySJ7y1p PETITIO ER'S RES ONSE WILL NOT B ALLI <br />❑ YES, I favor speeAhumps ¢n mt street. I I I rti NO, I dp not <br />SIGNATURE: <br />NAME WDATIE <br />(Please Print): Ni <br />ADDRESS <br />Date Received by City: <br />lanaging Speed gn Residential <br />MODIFICATION , <br />NED. <br />speed humps fn my street. <br />City Council <br />Updated 5118/21 <br />M <br />7/20/2021 <br />