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2. LPD Speed Sign Request
   Complete and submit this form to request having the digital speed sign placed on a street or intersection by the Lincolnton Police Department to monitor motorist speed rates.
3. 
5. Resident First Name*
6. Resident Last Name*
8. Residential Street Address*
9. City
10. Zip Code*
12. Home Phone*
13. Mobile Phone
14. Email Address
16. Specific address or intersection location where you request speed sign should be placed:*
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit Submit and Print

* indicates a required field