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CEREMONIAL STREET SIGN TOPPER <br />Application <br />Please check all below. Include a brief explanation of each applicable criteria <br />(if you require more space, please provide information as an attachment): <br />o Cultural Impact on the City: ________________________________________________________________________ <br />___________________________________________________________________________________________________________ <br />___________________________________________________________________________________________________________ <br />___________________________________________________________________________________________________________ <br />o Historical Impact on the City: ______________________________________________________________________ <br />___________________________________________________________________________________________________________ <br />___________________________________________________________________________________________________________ <br />___________________________________________________________________________________________________________ <br />o Humanitarian Impact on the City:_________________________________________________________________ <br />___________________________________________________________________________________________________________ <br />___________________________________________________________________________________________________________ <br />___________________________________________________________________________________________________________ <br />o Connection to/Association with the City: __________________________________________________________ <br />___________________________________________________________________________________________________________ <br />___________________________________________________________________________________________________________ <br />___________________________________________________________________________________________________________ <br />PUBLIC WORKS AGENCY <br />For more information please contact Azadeh Azad at (714) 647-5667 or email aazad@santa-ana.org.