Orange County NC Website
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6 <br /> pppppp Street Name Request Form <br /> Requirements: <br /> • Street must be withi[l 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 /> htit)://l+,l+,lv.orarigecor+ntylc ov/849/OraLige-Address-Databuse-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 flie read name eheiees tire net reeeived after 30 days, the hafid Reeefds/GIS staff will designate <br /> stfeeet lame. <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: <br /> Name of Contact Person: /��e«�/< �'�o,r/,l1a.e� l��t� �Es,r ,✓T o.f����> <br /> Address of Contact Person: /�l ZZ �'P <br /> City: <br /> State/Zip: yL• a�_30�z <br /> Email Address: rr15 f o� 1&:Cl <br /> Contact Phone #: �/9- -f-63-of" <br /> There should be three (3) choices of street names in case your first choice is unavailable: <br /> First choice: <br /> Second choice: <br /> Third choice: <br /> (117/9 Y T 4-15d)OF57 <br /> Tsr E !FIV3> DF i/fE- <br /> Scanned by CamScanner <br />