D7: Park Naming/Renaming Application — original pdf

Backup

Application for Park Naming / Renaming Please follow the instructions below when submitting an application for naming a park. 1. Complete the application by providing detailed information about the proposed park name. Please include supplemental information such as articles, letters of support and signature list with the application. 2. City of Austin Parks & Recreation Department must receive the application within the 90 day solicitation period in order for the application to be considered. 3. Send all inquiries to: Gregory Montes, 919 W. 28 ½ Street, Austin, TX 78705. For questions, please contact, Gregory Montes at 512-974-9458 or at gregory.montes@austintexas.gov Proposed Name for the Park: _______________________________________________ If proposing the name of an individual, include a biographical description of nominee: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Describe the individual’s involvement in the Austin community: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________  Describe the individual’s connection to the park or park system, if any: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ If proposing a name that is not an individual, summarize the reason for the name: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Date: _____________ Name of requester: ________________________________________________________ Address: ________________________________________________________________ Phone Number: __________________________________________________________ Please provide any additional information with the application, e.g., newspaper articles, letter of recommendations, etc. Direct questions to: Gregory Montes 512-974-9458 gregory.montes@austintexas.gov  P a r k N a m i n g / R e n a m i n g S i g n a t u r e L i s t Date: _____________ Address of Naming/Renaming Request: ________________________________ To: Director of the City of Austin Parks and Recreation Department We, the representatives of property within the service radius of the requested naming/renaming change do hereby submit the required signatures in support of the suggested name of ______________________ park. Signature Printed Name Address ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ ___________________________ __________________________ _________________________ ___________________________ __________________________ _________________________ ___________________________ __________________________ _________________________ ___________________________ __________________________ _________________________ Date: _____________________ Contact Name: ____________________________ Phone Number: ____________________________