Form Center

Step Two

Date*
Date
Applicant First Name*
Applicant Last Name*
Applicant Street Address*
City*
State*
Zip*
Applicant Cell Phone (daytime access)*
Applicant Email Address*
Sponsoring organization or project partner?
Non-profit or other entity if applicable (LTDA, DDA, ACLC, etc.)
Complete description of project including how it contributes value to the Lincolnton Public Art Program.*
Type of Artwork?*
Sculpture, mural, benches, pottery, bike racks, banners, photographs, mosaics, electronic art installations, etc.
Estimated completion & installation date?*
Estimated completion & installation date?
Exact location for artwork?*
Address, building/park/sidewalk location, etc.
Site Plan*
Short description of site plan. Please upload map, GIS or other documents indicating the proposed location of the artwork with lot and building dimensions.
Site Plan
Add'l site plan
Photographs of location, upload photo 1*
Upload site photos Include building elevations and/or streetscape
Location photo 2
Location photo 3
Scale drawing/site layout*
Upload scaled drawings or site layouts depicting the location and showing the proposed size and placement of the artwork.
Site drawing 2
Site drawing 3
Proposed artwork*
Upload color drawings, renderings, or photographs of the proposed artwork. Use the additional upload buttons to the right to add more images
Proposed artwork 2
Proposed artwork 3
Proposed Maintenance Plan*
Describe the maintenance plan and schedule, including the expected life of the artwork, any installation methods to protect it, and methods for removal, if applicable.
Proposed Maintenance Plan
Upload the maintenance plan and schedule document.
Property Owner Approval
Upload document using Owner Authorization form posted above with owner signature indicating:
i. permission to install artwork
ii. acknowledgment that artwork will be removed or covered for failure to maintain.
iii. acknowledgement that artwork will remain if property/building is sold that the artwork must remain intact.
Additional Info
Upload any additional info necessary to evaluate the project.
Additional upload materials
documents, photos, drawings, etc.
Additional upload materials
documents, photos, drawings, etc.
Additional upload materials
documents, photos, drawings, etc.
Electronic Signature*
By checking the "I agree" box below, you agree and acknowledge that 1) you are submitting this application electronically, and 2) you authorize your electronic signature to be valid and binding upon you by the same force and effect as a handwritten signature,
1. I agree
Electronic Signature*
Type Name
Date signed*
Date signed

Leave This Blank:

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

This field is not part of the form submission.
Submit Submit and Print | Go Back

Search Forms by:

Public Art Permit Request

Steps

Step One

Step Two

Contact Us

Quick Links

Site Links