Commemorative Dedication and Name
Application for City Facilities
Refer to the City of Fairfield’s “Policy for Naming City Facilities, Donations, Sponsorships, and Capital Campaigns”
Applicant Information
Name: ______________________________________________________________________ Address: ______________________________________________________________________ Phone: ______________________________________________________________________ Email: ______________________________________________________________________ Proposed Name of Street / Facility: ________________________________________________ ______________________________________________________________________________ Location / Property Description of Street / Facility: ___________________________________ ______________________________________________________________________________ Classification of Proposed Name (check all that apply):
Historical Significance to Location (e.g. historical event, landmark, person, or group of major significance to region/location)
Commonly Recognized by Neighbors / Residents
Compliments the Theme of the Location, Neighborhood or Surrounding Area Natural Phenomena of Site (e.g. rivers, creeks, terrain, mountains, etc.) Horticultural (e.g. trees, plants, flowers or other horticultural features of area) Deceased Individual (deceased for at least 2 years & has long standing affiliation with City of 10 years or more) Living Individual (individual must be associated with a capital campaign) Group or Organization (requires long-standing affiliation with City of 10 years or more) Donation or Sponsorship
Other: _____________________________________________________________________________________ For recommendation of an individual, please indicate individual’s long-standing affiliation with Fairfield (10 years or more) of significant community service, involvement or contributions. Specifically indicate how this pers on has: (a) enhanced the quality of life/well-being of Fairfield’s residents; ( b) Contributed to the preservation of Fairfield’s history and culture; ( c) Made exemplary or meritorious contributions to Fairfield or its residents; or (d) Contributed to the acquisition, development of conveyance of land, buildings, structures or other amenities to the Fairfield community (if more room is needed, please attach separate sheet):
Supporting Documentation (required for recommendation of an individual’s name) I have included the following document ation to demonstrate broad-based community support for my recommendation:
Letters
Character References
Newspaper or journal articles
Petitions
Other Documentation: ________________________________________________________________________ The following conditions will apply to all Commemorative Dedication and Name Applications:
All applications submitted to the City of Fairfield for the purpose of naming a new City facility or street must be filled out completely and accurately with supporting documentation in accordance with and as required by the City of Fairfield’s Policy for Naming, Dedication and Sponsorship of City Facilities and Acceptance of Donations (hereinafter the “Policy”). The Policy is available on the City of Fairfield’s website, under the City Manager’s Office page, and/or hard copies may be requested from the City Manager’s Office.
The naming of a City facility will be considered only through this application process.
Incomplete, illegible and/or fraudulent applications will not be considered. The City of Fairfield reserves the right to verify the identity of the Applicant submitting this application to ensure its validity.
The Fairfield City Council will have the final decision as to the naming of a park or recreation facility and reserves the right to reject any and all proposed names and/or applications submitted for consideration.
Signature of Applicant: ____________________________________ Date: ________ ________ Return completed applications to:
City of Fairfield
City Manager’s Office
1000 Webster Street, 4th Floor
Fairfield, CA 94533
[email protected]
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