We, the undersigned, request that the City of Charlotte install a streetlight on the property line between:
_____________________ and ________________________
(address and street)
Neighborhood or Subdivision ___________________________
Below, find a signature from each household within 75' of the proposed streetlight location. We understand that the Charlotte Department of Transportation has the final authority to determine the placement and type of streetlight to be installed.
_________________________ _________________________
(Printed name of lead petitioner) (Address)
_____________________
(Phone Number)
_____________________________
(Signature of lead petitioner)
Property Owner/
Resident Signatures Address Telephone
_________________ ________________ ________
_________________ ________________ ________
_________________ ________________ ________
_________________ ________________ ________
Return petition to:
Charlotte Department of Transportation
Public Service & Communications Division
600 East Fourth Street
Charlotte, NC 28202-2858
Phone: 704-336-4118
Fax: 704-336-4400
