Fillable Street-Name-Change-Petition-PDF - pzStreetNameChangePetition

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Street-Name-Change-Petition-PDF - pzStreetNameChangePetition

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U.S.A. forms for Town of Greenwich

BROWSE TOWN OF GREENWICH (CT) FORMS

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Town of Greenwich Signature required
Planning & Zoning Department Type online, print & sign
Town Hall - 101 Field Point Road, Greenwich, CT 06836-2540
Phone 203-622-7894 - Fax 203-622-3795
Town of Greenwich Page 1 of 1 pzStreetNameChangePetition.doc
PETITION FOR STREET NAME CHANGE
“We, the undersigned, being all of the property owners abutting upon that portion of
___________________________________ , a _____________________________ street, located in the
(name of street) (public or private)
Town of Greenwich, which commences at ________________________________________ and which ends
(intersecting street)
at _____________________________________, for a length of ___________ feet, more or less, and being
(intersecting street or cul-de-sac)
desirous of changing the name to _______________________________do hereby affix our names below indicating
our desire and approval of such change, and do hereby render notice to the Town of Greenwich and all interested
agencies thereof, of the change of name as aforesaid.” Said road meets all the standards, and has been approved by the
Department of Public Works.
DATED AT GREENWICH, CONNECTICUT
________________ ________________________________ ____________________________
(date) (printed name) (signature)
________________ ________________________________ ____________________________
________________ ________________________________ ____________________________
________________ ________________________________ ____________________________
________________ ________________________________ ____________________________
________________ ________________________________ ____________________________
Attached to this Notice should be an Affidavit indicating that this has been duly filed in the office of the Town Clerk, the
wording of which should be as follows:
“ _____________________________________ , being duly sworn, deposes and says that he has compared the
foregoing copy with the original thereof, which has been duly filed in the office of the Town Clerk, Greenwich,
Connecticut on the ____________ day of _____________ , and that it is a true copy thereof.”
SUBSCRIBED AND SWORN TO BEFORE ME THIS _____________ day of _________________
Signed: ____________________________________________
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Street-Name-Change-Petition-PDF - pzStreetNameChangePetition

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Completed 12 July 2020

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