Once upon a time, Climax (Kansas) was just down the road a piece from Intercourse...One of the streets in Wichita is called "Volutsia" going one way, and "Volustia" going the other...and it's been that way for a good 15 years!
The courthouse in Boston had county names on all the courtrooms, to make them easier to find. Between the Men's restroom and the Women's was a sign for "Middlesex."
And Washington State has some rather peculiar town names. My favorite? "Humptulips."
Lin