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<br />Updated 5/18/21 <br /> <br /> <br />ATTACHMENT B <br />INTEREST FORM TO THE CITY OF SANTA ANA <br />TO INSTALL SPEED HUMPS <br /> <br />STREET: FROM: TO: <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 you understand the Standard Procedure for Managing Speed on Residential <br />Streets (attached). NOTE: UPON INTEREST FORM SUBMITTAL TO THE CITY, MODIFICATIONS, <br />ADDITIONS, DELETIONS TO PETITIONER’S RESPONSE WILL NOT BE ALLOWED. <br />INTEREST FOMS ARE DUE ON (DATE). <br /> <br /> <br /> <br />YES, I favor speed humps on my street. <br /> <br /> <br /> <br />NO, I do not favor speed humps on my street. <br /> <br />SIGNATURE: <br />NAME <br />(Please Print): <br />DAY TIME <br />PHONE NO.: <br />ADDRESS <br />(Please Print): <br /> <br /> <br /> <br /> <br /> <br />Date Received by City:__________________________