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Lighting REVIEW REQUEST Form

Light Pollution — Glare — Light Trespass

Date:_________

 

Address of problem light(s):_______________________________________________________________

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City: _______________________________________           County:______________________________

Owner of problem light(s):________________________________________________________________

State of the problem:

(please be specific, including the location of the bad lights, and times and dates of the offenses)

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Your suggestions to remedy the problem:

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Have you contacted the owner? No [   ]   Yes [   ]

Details:______________________________________________________________________________

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Complainant’s name and address:___________________________________________________________

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Phone number: _____________________     E-Mail address:__________________________________

Thank you for your interest in a better community!

Please email this form to:

ACA Responsible Lighting Committee