Mural Installation Permission Form
Applicant Name
Organization (if applicable)
Email Address
Phone Number
Proposed Mural Location Address
Property Owner Name
Property Owner Contact Information
Mural Dimensions (height x width)
Proposed Installation Date
Artist Name(s)
Brief Description of Mural
Materials to be Used
Maintenance Plan
Attachments (Designs, Sketches, etc.)
Applicant Signature
Date
Property Owner Signature
Date