PUBLIC ART INSTALLATION APPLICATION Proposed Public Art Project Name: CITY OF DOVER Proposed Location: Applicant Information Applicant Name (person or organization) Street Address City ST ZIP Code Home Phone Work Phone E-Mail Address Location of Proposed Public Art Installation Identify the facility and the exact area upon or within the facility where the installation is proposed to be located. Include pictures, schematics and/or other visual materials depicting the location of the project installation (attach additional sheets, if needed) Description of Proposed Public Art Installation Describe the nature of the public art installation including specific details regarding materials, size, weight and attachment mechanism. Include pictures, schematics and/or other visual matials depicting the nature of the project (attach additional sheets, if needed) Page 1 of 2 PUBLIC ART INSTALLATION APPLICATION Proposed Public Art Project Name: CITY OF DOVER Proposed Location: Person Responsible For Installation/Maintenance (if different than applicant) Name Street Address City ST ZIP Code Home Phone Work Phone E-Mail Address Agreement and Signature By submitting this application, I affirm that I am authorized on behalf of the applicant to commit to complete the installation and assume all responsibility related to the continuing maintenance, care and removal of the proposed public art project described herein. Name (printed) Signature Date Policy Concerning Requests for Public Art Installations It is the policy of the City of Dover to accept and review all applications from area artists proposing to install public art within or upon public facilities owned and maintained by the City of Dover. Applications are reviewed by both the Dover Arts Commission and the City Manager. Upon the recommendation of the Arts Commission and City Manager, applications are forwarded to the City Council for final approval. Thank you for completing this application form. Your proposal for the installation of public art will be submitted for review and consideration for approval per the above policy. You will be contacted should additional information by needed and to provide the status of your application. Page 2 of 2
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