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2. Street Light Acceptance / Request
3. 
5. Instructions

   This form should be used to request:

   • One or more new street light(s) be added to a neighborhood
   • The Town of Huntersville fund the electrical bill for street lights that have been installed, in the public right-of-way, on a Town-maintained street.   

   Please read the Town's Street Light Policy prior to submitting this form.  

   Questions - contact Public Works (704) 875-7007.

7. Requestors Name*
8. Today's Date*
   Today's Date
10. Address*
12. Telephone*
13. Email*
15. Neighborhood/Subdivision Name*
16. Name of Energy Provider*
18. Name of Homeowners Association (if applicable)
19. HOA Contact Person's Name
21. HOA Contact Person's Email Address
22. HOA Contact Person's Phone Number
24. Type of Request*
    -- Select One --New or Additional Neighborhood Street Light (Neighborhood has HOA)Individual Street Light Install (no HOA)Take Over Energy Bill for Existing Street Lights
25. Style of Lighting Requested*
    -- Select One --Standard (cobra head light on wood pole)Decorative (anything other than Standard) **by-down requirement applies**
27. Street Light Detail

    Request to Add a Street Light:   List the number of new lights requested, the name of street and specific location of installation.   Attach signed residential petition and lighting plan.

    Request Town Take Over Energy Bill for Existing Street Lights: List the street light tag # found on the light pole, the name of the street the light is located on and the cross-streets the light is installed on.  Attach the Town approved lighting plan, and proof the buy-down has been met for decorative fixtures.    

29. # Lights Added / Tag #*
30. Name of Street*
31. Between*
49. (Upload) Resident Signed Petition
50. (Upload) Lighting Plan
52. (Upload) Proof Buy-down Has Been Met
53. Additional Supporting Documents
Leave This Blank:


55. 1. Receive an email copy of this form.
56. Email address

    This field is not part of the form submission.

57. Submit Submit and Print

* indicates a required field