Bainbridge Island, WA · Kitsap County

No notary required

Petition for Road Name Application

Property owners or their agents use this petition to request a road name or road name change and provide information about affected properties.

What this form is

This petition lets property owners request a road name or road name change. It asks for project and parcel details, property use, applicant and owner information, affected parcels and addresses, a vicinity map, relevant road documentation, and up to three road name choices. The form states that the Department considers documentation from the majority of affected property owners and issues a formal decision in consultation with the Bainbridge Island Fire Department.

Who needs it

Property owners or their agents seeking a road name or change should complete the petition and provide information for each affected property.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed and dated without a notary; the form calls for owner and applicant signatures but does not require a sworn or notarized attachment.

How to submit this form

  1. 1

    Download The Petition

    Download the Petition for Road Name Application PDF.

  2. 2

    Complete The Form

    Fill in the project, applicant, owner, affected property, and road name choice information.

  3. 3

    Gather Supporting Documents

    Include a vicinity map and documentation about planning conditions, easements, road ownership, or other relevant matters.

  4. 4

    Sign And Submit

    Have the applicant and affected property owners sign and date the form, then submit it to the city department named on the form.

Frequently asked questions

What is the Petition for Road Name Application?
It is a petition for property owners or agents to request a road name or road name change and provide details about the road and affected properties.
What information and attachments does the petition request?
The form asks for parcel and address details, a vicinity map, relevant planning or road documentation, up to three road name choices, and signatures from owners and the applicant or agent.
Do I need a notary for the Petition for Road Name Application?
No. The document is signed and dated without a notary; it calls for owner and applicant signatures but does not require a sworn or notarized attachment.
How do I submit the Petition for Road Name Application?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Petition for Road Name Application doesn’t need a notary — but if you have another Bainbridge Island form that does, a commissioned online notary can help.