NAMING/RENAMING MUNICIPAL ASSET AND NAME SUGGESTION APPLICATION

Schedule “A”

Application to:

Name
Rename
Provide a suggested name

Municipal asset is a:

Street
Trail
Park
Other ______________________________

Contact Information:


Applicant	Name		Company
	Address		City
	Email		Postal Code
	Phone	Cell	Fax

Proposal:

Name	Specific location (if applicable)	Description and background (provide additional pages as required)
1.
2.
3.

IF THIS APPLICATION IS TO RENAME A MUNICIPAL ASSET, PLEASE ATTACH THE COMPLETED PETITION FORM (SEE SCHEDULE “C”).

Application Fees:

The appropriate fees must be submitted at the time of a renaming application as described in section 3 of the Policy. There is no fee to either name a municipal asset or to suggest a name or names for the Schedule “B” list.

I acknowledge the responsibility to pay for any and all costs for renaming a municipal asset, including but not limited to all municipal costs as well as private signage that will be impacted if the application is approved and all required address changes.

Signature of Applicant ______________________________ Date __________________________

Office Use Only


Date
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