Application for Municipal Street Light Siting
(This is the actual application of a Maine community which is being made available for classroom use.)

This Maine Municipal Association publication is presented for "Classroom Use Only."  Its intended use is to stimulate and aid in discussion and role playing within a classroom setting.

Town of _______

General Information

1. Applicant

Name:

Address:

Telephone

2. Property Owner If different from above

Name:

Address:

Telephone

3. Location of proposed street Light:

4. Tax Map#:              Lot#:    

5. I am a legal resident of, or own property in _________ (circle one)             Yes          No

6. Explain why you want to have a street light at the proposed location:

7. Explain how the proposed street light will benefit the town:

Detailed Information

Answer each of the following questions as it relates to the proposed street light

Note:  assistance is available from the Code Enforcement Officer and the attached instruction sheet.

Questions 8. and 9. require information to be supplied by the town or the Maine Department of Transportation. The correspondence received from the town or the MDOT must be submitted as part of this application. Assistance with your information request may be obtained from the town. If the town cannot provide the information, it can be requested by calling Bob Baker of the Maine Department of Transportation at 287-3131.

8. How many accidents have occurred at this location over the past five years?

Total __________

Of the total accidents? How many occurred during the day? Day _______

How many occurred during the night? Night _________

9. What is the Critical Rate factor for your location?

10. Estimate the number of pedestrians using your street on an average night. ___________ Pedestrians

11. Estimate the percentage of development on your street. Estimate by percent the average amount of development by lot each way for 1000 feet ____________%

12. Circle the choice which best represents the development type in the immediate neighborhood for 1000 feet in each direction:

Undeveloped
Residential
Half Residential&Commercial
Industrial or Commercial
Industrial or Commercial strip ( close to and/or strung out along the road )

13. What is the average setback distance for buildings from the street for 1000 feet in each direction? _______Feet

14. Estimate by percent the average amount of lit advertising signs for 1000 feet in each direction? ________ %

15. Does your street have a pedestrian walking path or sidewalk?        Yes              No

16. What percent of distance for 1000 feet each way is made up of driveways, parking lots, or other curb cuts or roadway openings? (example: if there are 10 curb cuts and each in 20 feet wide within the 2000 total feet, that would be 10% of the total distance.) _______ %