HomeMy WebLinkAbout04 Agency Review FormAGENCY INSTRUCTIONS: YOUR CHOICES AND COMMENTS WILL
HELP TO DETERMINE THE NEW ROAD NAME! Please indicate acceptable names
by checking the box in the “Acceptable” column – you may include a comment if you
wish. If you mark a name choice as being “Unacceptable,” please provide a reason.
Please return this form to Jefferson County Department of Community
Development by: Monday, June 31, 2022 Attn: Helena Smith.
THE ROAD NAMING PROCESS CANNOT PROCEED UNTIL ALL AGENCY REVIEW FORMS HAVE BEEN
RETURNED.
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AGENCY ROAD NAME REVIEW
Having completed my review of the road name choices submitted on a petition to
name the private drive located approximately 0.7 miles on the West side of G & L
Shake Road on the Northwest edge of parcel 613231002, I offer the following: Acceptable Not-Acceptable Road Name Choice
* Check all that apply. If not acceptable please give explanation
Ironman Way
Maple Flats
Heritage Lane
Silver Flats