Street Name Request Form

Please include all street names and submit with a surveyed site plan. Missing information could result in a delay.

Development Name: *

Development Location (City/Municipality): *

Requester: *

Phone: *

Fax:

Email: *

Site plan: Please send an email attachment of the "Site Plan" with the street design/layout to address.assignment@mlgw.org

NOTE: Approval of street names may be subject to change upon MLGW’s review of street layout on submitted plan. To review our Street Naming Guidelines please visit our web page at MLGW.com. Click on the "Builders" tab and select "Land and Mapping".

In the Street Name Box enter the proposed name without the extension (St., Ln., Ct., Pl., etc.) * (required)

Status Code (MLGW use)

Proposed Street Name 1

Status for Street Name 1

Proposed Street Name 2

Status for Street Name 2

Proposed Street Name 3

Status for Street Name 3

Proposed Street Name 4

Status for Street Name 4

Proposed Street Name 5

Status for Street Name 5

Proposed Street Name 6

Status for Street Name 6

Proposed Street Name 7

Status for Street Name 7

Proposed Street Name 8

Status for Street Name 8

Proposed Street Name 9

Status for Street Name 9

Proposed Street Name 10

Status for Street Name 10