"And the streets don't change but maybe the names"


It's hard to see with so many around
You know I don't like being stuck in the crowd
And the streets don't change but maybe the names
I ain't got time for the game cause I need you



It's probably about the area that he's talking about - the general feel of a place, its inhabitants and their way of life. The names of the people may change (different generations, different families) but the place remains the same. Maybe even the names of streets change, but the likelihood is he means the names of the people who live there may change over time but the atmosphere of the neighbourhood remains.