REC 015 - Naming, Memorial, and Dedication Application

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Thank you for your interest in submitting a naming, memorial, or dedication request to the City of Mountain House. Please complete the online application and provide a clear explanation of your request, its significance and community benefit, and any required supporting documentation. City staff will review the application for completeness before forwarding eligible requests to the Naming Committee. Please note that submitting an application does not guarantee approval; all requests are subject to review and final action by the City Council.

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Major FacilityNaming
MemorialDedication
NO
AmenityDedication
Community Benefit Donation BasedNaming
Renaming of Existing Facility
Other_1
Civic leadership or public service
Historical or cultural significance
Geographic or neighborhood relevance
Community involvement or long termservice
Contribution to parks recreation facilities or
Philanthropic financial ormaterial
Community support or relevance
Other significant community benefit
Living
Deceased
NO
Letters of support
Biographical or historical information
Documentation of community service or
Donation or sponsorship information
Photographs or proposed location information
Other supportingmaterials
x

Additional Signatures Required