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7 <br /> Street Name Request Form <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 <br /> names: http://www.oranee�tync.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. For Land <br /> 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 Name <br /> 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: 02/15/19 <br /> Crystal Cockman <br /> Name of Contact Person: <br /> 6626 Teer Rd <br /> Address of Contact Person: <br /> Mebane <br /> City: <br /> NC/27302 <br /> State/Zip: <br /> impala95@mebtel.net <br /> Email Address: <br /> 919-218-8264 <br /> Contact Phone #: <br /> There should be three (3) choices of street names in case your first choice is unavailable: <br /> First choice: Flatrock <br /> Rufus <br /> Second choice: <br /> Third choice: <br />