Application for Naming
of Groveland City Asset
or Placement of
Commemorative Work
Applicant Information
First Name:
Last Name:
Phone Number:
E-mail Address:
Street Address:
State:
Zip Code:
Action
Requested
Naming Renaming
Commemorative Work
Facility/City Asset to be Named/Renamed or Commemorative Work to be Placed
City:
Return Completed Application and Attachments To:
Office of the City Manager, City of Groveland
156 S. Lake Ave., Groveland FL 34736
Name Proposed For Facility/City Asset:
Street Address:
Criteria for Naming/Renaming or Placement of Commemorative Work
Geographic Location Natural or Geographic Features
Historic Event/Place Outstanding Individual
Major Gift/Donation
Geographic Location / Natural Geographic Feature /
Historic Event / Place Application
Provide Information To Support Selected Criteria (See Paragraph 4 of Policy Section)
Return Completed Application and Attachments To:
Office of the City Manager, City of Groveland
156 S. Lake Ave., Groveland FL 34736
Outstanding Individual Application
Provide Information To Support Selected Criteria (See Paragraph 4 of Policy Section)
Return Completed Application and Attachments To:
Office of the City Manager, City of Groveland
156 S. Lake Ave., Groveland FL 34736
Major Gift / Donation Application
Provide Information To Support Selected Criteria (See Paragraph 4 of Policy Section)
Supporting Documentation - Please attach any letters of support or other supporting
documentation to this request. Ensure that each letter has the name of the person writing
the letter, their address and contact information.
Return Completed Application and Attachments To:
Office of the City Manager, City of Groveland
156 S. Lake Ave., Groveland FL 34736