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Street Sign Request Form

2. Street Sign Request Form
   Below are the available signs to purchase through the Burlington Public Works Department. Each sign is $25. Please select the sign you are wanting to purchase.

   Below are the available signs to purchase through the Burlington Public Works Department. Each sign is $25. Please select the sign you are wanting to purchase.

4. First Name

5. Last Name

7. Address1

9. Address2

11. City

12. State

13. Zip

15. Email

16. Phone

18. Geographical Street Signs

    1. West Avenue
    2. Barret Street (2200)
    3. Cleveland Avenue (1400)

    1. South Gunnison St (600)
    2. Mark Lane
    3. Osborn Street (1300)

    1. Angular Street (1300)
    2. 7th Street (300)

    1. Main Street (300)
    2. Elm Street (200)

20. West Avenue
    

21. South Gunnison St (600)
    

22. Angular Street (1300)
    

23. Main Street (300)
    

25. Barret Street (2200)
    

26. Mark Lane (1700)
    

27. 7th Street (300)
    

28. Elm Street (200)
    

30. Cleveland Avenue (1400)
    

31. Osborn Street (1300)
    

33. Street Signs

    1. One Way
    2. Speed Limit 25mph
    3. Speed Limit 35mph
    4. Weight Limit 5 ton
    5. Stop Sign

    1. No Parking This Side of Street
    2. No Parking Any Time
    3. No Parking Any Time (2)
    4. No Parking This Side of Sign
    5. No Parking Here to Corner

    1. No Parking Entire Block
    2. No Parking Between Signs
    3. Snow Route
    4. Crime Stoppers
    5. Handicap

35. One Way
    

36. No Parking This Side of Street
    

37. No Parking Entire Block
    

39. Speed Limit 25mph
    

40. No Parking Any Time
    

41. No Parking Between Signs
    

43. Speed Limit 30mph
    

44. No Parking Any Time (2)
    

45. Snow Route
    

47. Weight Limit 5 Ton
    

48. No Parking This Side of Sign
    

49. Crime Stoppers
    

51. Stop Sign
    

52. No Parking Here to Corner
    

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54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit

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