D99-01668 Submission Form Naming Municipal Property

Appendix C
SUBMISSION FORM

Municipal Buildings, Facilities, Open Space, Property, Parks and Streets Recognition/Commemorative Naming

Individual/Organization Submitting Name:

Mailing Address:

Telephone:

Email:

Location of Buildings, Facility, Property, Park, Open Space, Street:

Suggested Name:

Rationale for Suggested Name:

Where submitting a name of an Outstanding Resident or Canadian (individual or family name, living or deceased) please attach:

Written documentation confirming the consent of a family member or estate if the individual is deceased.
Written history of the contribution made or the historical significance of the name.

Where the suggested name is not an individual or family name, please attach a written rationale for the suggested name:

Applications from an Organization must include an official letter of support from that Organization

Additional File(s):

Contact Email(s):

Enter contact emails to receive a copy of your submission (comma separated).

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