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  Type of Traffic Concern:
  SpeedingFailure to Stop/YieldPedestrian IssuesHazardous IntersectionOther

  Location: Intersection of:
 

  and:
 

 


OR


  Type of Traffic Concern:
  Speeding
  Failure to Stop/Yield
  Pedestrian
  Hazardous Intersection
  Other

  Number Block (example: 1500):
 

  Of which Street/Avenue:
 

 

 

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