2. Board of Selectmen approval will be required for the naming or renaming of all properties including portions thereof, such as a conference room or auditorium. Identify the facility or portion of the facility to be named. Only one facility or portion thereof shall be named for any individual or group.
4. Indicate the type of facility to be named:

   1. New Facility
   2. Portion of Existing Facility
   3. Existing Facility
6. Current name of facility (if applicable):
8. Name for consideration:
10. The name to be considered is because the person has attained prominence locally or nationally based on contributions to the public in recognized fields such as education, science, medicine, law, art, government, business, justice, civil rights, human rights, community contributions, or military achievement.
12. If renaming a facility or portions thereof.

    1. Property has not previously been named for another person in the last 50 years.
    2. No deed restriction or donor designation exists on the property.
14. All submissions must contain a brief statement to include the following:
16. 1. Biographical Data of the nominee:
18. 2. The nominee’s significant contribution(s) is(are):
20. 3. An impact statement explaining why a public space, facility, or portion thereof should be named in honor of this nominee.
22. Attachments or additional information may be emailed to tlooney@town.pepperell.ma.us
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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

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