Yukon Geographical Place Name Submission Form Page 2

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10. If there is currently more than one name used locally, please list them in order of frequency use.
a) ________________________________________________________________________________________
b) ________________________________________________________________________________________
c) ________________________________________________________________________________________
11. If you are not suggesting a particular name for this feature or place, please note any unique characteristic that would
suggest a descriptive name and/or provide data on an interesting historical incident associated with the feature.
__________________________________________________________________________________________
12. Please note any reference material which could be consulted when considering this name.
__________________________________________________________________________________________
PLEASE COMPLETE AND RETURN TO:
Geographical Names Program (L-1)
Heritage Resources Unit
Cultural Services Branch
Department of Tourism and Culture
Government of Yukon
P.O. Box 2703
Whitehorse, Yukon Y1A 2C6
INQUIRIES:
garry.njootli@gov.yk.ca
Phone: (867) 667- 3099
Fax: (867) 393- 6456
Toll Free, for public use callers from outside of Whitehorse seeking Yukon Government information.
1-800-661-0408
FOR CULTURAL SERVICES BRANCH OFFICE USE ONLY
DATE RECEIVED:
______________
DATE FORWARDED TO YGPNB FOR RECOMMENDATION: ______________
DATE RESPONSE RECEIVED FROM YGPNB: ______________
YUKON GEOGRAPHICAL PLACE NAMES BOARD RECOMMENDATION: ______________
DATE YGPNB RECOMMENDATION FORWARDED TO MINISTER OF TOURISM AND CULTURE FOR DECISION:
______________
DATE DECISION RECEIVED FROM MINISTER BY CULTURAL SERVICES BRANCH: ______________
DATE DECISION OF MINISTER FORWARDED TO YGPNB: ______________
DATE FORWARDED TO GEOGRAPHICAL NAMES SECRETARIAT, NATURAL RESOURCES CANADA: ______________
DATE OFFICIALLY APPROVED NAME APPEARS ON APPROPRIATE NTS MAP SHEETS: ______________
***************************************************************************
YUKON GAZETTE: ______________
PRESS RELEASE: ______________
DATE: ______________
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