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APPENDIX A— SAMPLE PETITION <br /> PETITION FOR STREET NAME CHANGE FORM <br /> Signature below affirms we request changing the name of our street: <br /> , from to <br /> [current street name] [intersecting street] [intersecting street] <br /> to the new name: <br /> [new name requested] <br /> The petitioners ask the City of Roseville to review this request and put it before the City Council for <br /> consideration at an upcoming Council meeting. <br /> Name Address Signature <br /> 1 <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> 11 <br /> 12 <br /> 13 <br /> 14 <br /> 15 <br /> 16 <br />