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Street Name Request Form <br /> 6 <br /> Requirements: <br /> • Street must be within Orange County Address Jurisdiction <br /> • Street must not be a duplicate or a prohibited name according to the 2011 Address Ordinance. (We will <br /> help determine this for you.) <br /> • Please use the Orange County Address Inquiry website to check existing road names: <br /> ho 11www.orang-ecountync.gov/849/Orange Address-Database-Search <br /> • For a street with multiple parcels, please consider meeting with your neighbors to come up with possible <br /> road names and also if possible to select a designated contact person to work with Land Records/GIS. <br /> For Land Records/GIS contact information please see the attached letter. <br /> • If the road name choices are not received after 30 days, the Land Records/GIS staff will designate a <br /> street name. <br /> • After the requested names have been reviewed, a Road Name Agreement Form will be sent to you using <br /> the first available choice. 75%of the property owners having addresses on the street must sign the Road <br /> Name Agreement Form. (One vote per owner even if several properties are owned and addressed) <br /> Information below is completed by the designated contact person. <br /> Date: �..- PrQ- l;- l "1 <br /> Name of Contact Person: �� �`�� i(\ 0a rA- e h <br /> Address of Contact Person: L Q aA <br /> City: eC-'(� <br /> State/Zip: -o , 0 2 V-1 S <br /> Email Address: C61 l6�- O-C,F'A t'r (k' 1:)6,1 <br /> Contact Phone#:(O--)5 0-411- H 3 3-8- 0,Z Q- `7 6-7 - -9 3� <br /> There should be three (3) choices of street names in case your first choice is unavailable: <br /> First choice: bAn(n R p6c� j <br /> Second choice: F o F <br /> Third choice: Ply <br />