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FortLauderdale.gov

Request New Streetlight

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Please correct the field(s) marked in red below:

1
Requestor's Name
 *
Requestor's Name
2

Address

Address
3
Telephone Number
 *
Telephone Number
4
Email
5
Is there a pole at the proposed location?
Is there a pole at the proposed location?
6

Location and/or Intersection

7
Reason for street light request

STAFF USE ONLY:

Request Received By:______________________________________________

Date Received:____________________________________________________

Approved:______  Denied:______

If denied, list reason:____________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

City of Fort Lauderdale

Parks and Recreation Department - Facilities Maintenance

701 S. Andrews Ave

Fort Lauderdale, FL 33316

OR

Email

ParksInfo@FortLauderdale.gov

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