"Place or Feature Name Proposal Form" - New Brunswick, Canada

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Download "Place or Feature Name Proposal Form" - New Brunswick, Canada

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Place or Feature Name Proposal Form
It is suggested that you include the following documents with your form:
 Letter of acknowledgement from your local authority (city, town, village, LSD)
 Letter of acknowledgement from local community groups such as Historical Societies,
Museums and Native groups (if appropriate)
To get more information, please contact:
Toponymy Services Manager
Heritage Branch
Tourism, Heritage and Culture
P.O. Box 6000
Fredericton, NB E3B 5H1
Telephone: (506) 453-2324
Proposed name:
Name in local use?
Yes
No
If yes, since when?
Nature of request:
Name an entity with no official name
Change an existing name
Alter how the name is written
Correct the location
Other (specify)
Former name:
Place or Feature Name Proposal Form
It is suggested that you include the following documents with your form:
 Letter of acknowledgement from your local authority (city, town, village, LSD)
 Letter of acknowledgement from local community groups such as Historical Societies,
Museums and Native groups (if appropriate)
To get more information, please contact:
Toponymy Services Manager
Heritage Branch
Tourism, Heritage and Culture
P.O. Box 6000
Fredericton, NB E3B 5H1
Telephone: (506) 453-2324
Proposed name:
Name in local use?
Yes
No
If yes, since when?
Nature of request:
Name an entity with no official name
Change an existing name
Alter how the name is written
Correct the location
Other (specify)
Former name:
Description of place to be named:
Inhabited area
Landform
Watercourse
Other
Specify:
Location:
Geographic coordinates:
Map sheet:
Municipality or Local Service District (LSD):
The Toponymy Services Section would appreciate receiving a cartographic
document locating the entity which is the subject of this proposal. Please send
us this document by mail or e-mail.
Origin and meaning of proposed name. You must include with your
request documentation justifying your proposal.
If it is a person’s name, is the person dead?
Yes
No
If yes, how long ago did the person die?
Additional information:
Additional support for the proposal (Please provide the names of five long-
time residents of the area who can verify well-established local usage.)
Name:
Address:
Telephone number:
Name:
Address:
Telephone number:
Name:
Address:
Telephone number:
Name:
Address:
Telephone number:
Name:
Address:
Telephone number:
Please complete all of the following fields so that we can follow up on your
proposal.
Requester:
Name:
Email:
Telephone number:
Fax number:
Address:
Signature:
Date:
In order to facilitate and expedite the response to your request, we ask that
you also include your Telephone number, which will be kept confidential.
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