Neighborhood/Subdivision: _____________________________
Name of Neighborhood Contact/Lead Petitioner: _____________
Address: ___________________________________________
Telephone Number: ________________ Fax: ______________
Email: _____________________________________________
Type of Lighting Requested: Standard _____ Decorative _____
Streets to Receive Lights: Street Name ----From----To----
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Return completed form to:
Charlotte Department of Transportation
Public Service & Communications Division
600 East Fourth Street
Charlotte, N.C. 28202-2858
Phone: 704-336-4119
Fax: 704-336-4400
Contact CDOT at 704-336-4119 with any questions.
