Project Title:

Use an existing name if the project has been requested previously or is identified in any plans or documents. If naming the project, choose a short descriptive title.

Previous Request (Please use existing name for Project Title): Yes □ No □ Year:

Applicant/Organization:

Name: Address:

Phone: e-mail:

Project Location (For street related projects, provide an address, cross streets, or beginning and ending points along with a street name. See below for examples):

Project Description (Include relevant details and supporting information about the project): ___________________________________________________________________________________________

Scope of Improvement (Describe the service area of the project):

County-wide □

Area or Neighborhood □

Street/intersection □

Other (explain) □:

Estimated Use: (Describe who will use the project and how many will benefit):

Criteria (Describe how the project meets one or more of the following criteria):

Public Safety -

Public Health -

Economic development -

Quality of Life -

Service Delivery

Example information

• Project Location: 4804 Central Ave SE -or- Isleta and Rio Bravo intersection -or- Along Eubank Boulevard from Academy north to Paseo Del Norte. A map may also be included.

• Scope of Improvement: A new fire station is ‘Area or Neighborhood’, new library materials is ‘County-Wide’ while renovations to a specific library is ‘Area or Neighborhood’.

• Estimated Use: A better intersection will decrease congestion - approximately 50,000 vehicles pass through this intersection per week.

• Criteria: Public Safety – police, fire, pedestrian safety, flood protection; Public Health – hospital, water or sewer line; Economic development – promotes private investment and business creation; Quality of Life - Parks, museums, libraries; Service Delivery – computers, special equipment, capital to improve delivery of public services.