All monuments and memorials to be located at Town parks or on Town property must be approved prior to installation. Applications will be reviewed by staff and/or the appropriate department, board, or commission. Large memorials must be approved by Town Council.

All information requested must be submitted in order for the request to be reviewed. Incomplete applications will not be accepted. All information concerning the status of this application will be directed to the Primary Contact Person listed below.

Group or Entity Sponsoring this Request:*

---

PRIMARY CONTACT INFORMATION

Primary Contact Name*

Primary Contact Address:*

Primary Contact Phone Number:*

Primary Contact Email Address:*

---

TYPE OF MONUMENT OR MEMORIAL*

Small Monument or Memorial

Large Monument or Memorial

---

PROJECT INFORMATION

Project Address and Location:*

Proposed construction/installation date of memorial or monument:*

Name of architect or builder (if available):

Name of significant person(s) associated with monument or memorial:*

Name of significant event(s) associated with monument or memorial:*

Significant or outstanding design details:

Significant archeological or cultural landscape details:

Briefly describe how this monument or memorial will positively benefit the Town residents:*

Please indicate how the development, construction, and future maintenance of the monument or memorial will be financed.*

---

The following information MUST be included with the application. Applications that are incomplete or missing information will not be forwarded for consideration. Descriptions of each category are included in the Monuments and Memorials Program. If submitting multiple documents for a category, the files must be combined into one file.

SOURCE AND RESOURCE INFORMATION: Provide a copy of all source information about the significance of the monument or memorial.*

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

MONUMENT RENDERING: Provide a rendering of the monument. *

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

CONCEPTUAL PLAN: (Required for large monuments or memorials) Provide a conceptual plan for monument or memorial.

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

---

Electronic Signature and Contact Information of Person Signing

I acknowledge I have read and understand the Monuments and Memorials Program Requirements and Information. Additional information is included in Ordinance 22065 Monument and Memorials Program.

I also acknowledge that all of the information required for this application has been provided and understand if any part of the information requested is not included, the Town of Mount Pleasant may deny this application. *

I Agree

Name:*

Date completed:*

Address (if different from Primary Contact):

phone (if different from Primary Contact):

Email address (if different from Primary Contact):