2. DATE
   DATE
4. Sponsoring Organization:
6. Address:
8. Website:
10. Contact Person:
12. Phone Number:
13. Email:
15. Design Concept:

    Describe the intent and general design concept for your artwork.

17. Design Proposal

    Please provide a full color image of your proposed design.  The design should be to scale, and must adhere to the required specifications listed in Community Crosswalk Guidelines on the template provided.  

19. How does your design showcase or enhance the character of the town?
21. What message are you trying to convey with this design and project?
23. What else should the committee consider with this application?
25. Community Support

    Applicants must notify all adjacent property owners by providing a copy of the application and design, including contact information, at least 14 days before the project start date.   

    Applicants are also responsible for obtaining and providing proof of support from the community.   Please provide letters of support from at least (3) community organizations. 

    Name, email and phone number of supporting organizations:
     

27. Organization Name #1
29. Phone (1)
31. Email Address (1)
33. Organization Name #2
35. Phone (2)
37. Email Address (2)
39. Organization Name #3
41. Phone (3)
43. Email Address #3
Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field