Request for Sidewalk
City of Boca Raton, Florida
Name: ______________________________________ Home Phone #:
Address: _________________________________________________________________________________________
Mailing Address (if different from above): ________________________________________________________________
E-mail Address: ___________________________________________________________________________________
Proposed Location of Requested Sidewalk:
Street Name: _____________________________________________________________________________________
From: ___________________________________________________________________________________________
To: _____________________________________________________________________________________________
Reason for Request: ________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Check if applicable:
Pedestrian Safety request American with Disabilities Act request
Please indicate whether the sidewalk is in a residential or non-residential area, and complete the associated
instructions:
Residential
Non-Residential
* Please Note: A letter of support from your Neighborhood Association is
strongly recommended and should be submitted with this request form.
Has your street ever been surveyed by the City of Boca Raton for
possible sidewalk construction?:
Yes No If yes, approx. what date:
Are there sidewalks within the area?
Yes No
If yes, approximately where (north,etc.):
Please mail your completed request to:
City of Boca Raton, Traffic Division
201 West Palmetto Park Road
Boca Raton, FL, 33432
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