Transportation - Petition for Street Name Change | Transportation and Land Management Agency Riverside County TLMA

Mail to: P.O. Box 1090 - Riverside, CA 92502
ATTN: STREET NAMES

All property owners abutting ___________________________________________________

located between________________________________ and __________________________

are hereby given the opportunity to sign this petition to evaluate if a street name
should be changed.

What is the reason for requesting the name change?

________________________________________________________________________

Petitioner's Name: ________________________________________________________

Address: ______________________________________________________________

_____________________________________________________________________

Telephone (______) _________________________________________

NAME/ADDRESS	ASSESSOR'S PARCEL NO.	APPROVAL YES/NO	SIGNATURE & PHONE
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Transportation - Petition for Street Name Change