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CURB RAMP REQUEST City of El Cerrito Curb Ramp Program Please provide a written description or sketch of the location(s) where wheelchair ramps would make your travel more safe and convenient. LOCATION: NE NW SE SW ALL corner(s) of the ⇑ (Please circle appropriate locations) N intersection between (Please list intersecting streets above) (Street Name) PLEASE PROVIDE BELOW Comments, Suggestions or Other Please mark intersection Information that may assist us in corners needing wheelchair providing better service to you! ramps with an REPORTED BY: Name Phone Email Address Zip Date Please return to: City of El Cerrito Public Works Department 10890 San Pablo Avenue For more information, email the Public Works Department: [EMAIL REDACTED] Phone: (510) 215-4382 El Cerrito, CA 94530 Visit us at www.el-cerrito.org (Street Name)