SCHEDULE “D”
MARKER PERMIT
Permit No: ____________
Name of Monument Company:
Address of Monument Company:
Phone No. of Monument Company:
Name of Purchaser:
Address of Purchaser:
Name of Deceased:
Location:
Section:
Plot:
Main Marker: Head of Plot – 1 per plot
Foundation Material: Concrete _____ Granite _____
(Minimum Depth 3 inches installed at ground level; Maximum Size: 4 feet wide x 2 feet deep)
Base Material: Granite _____ Other ________________
(Maximum Size 3 feet 6 inches wide x 1 foot 6 inches deep x 3 inches height)
Monument Material: Granite _____ Other ________________
(Maximum size: 3 feet wide x 1 foot deep x _____ height not to exceed 8 inches above the
foundation or ground level)
Vase attached to base : Y / N (minimum 1 inch from edge of base)
Additional Marker:
Foot of Plot (Maximum 1 additional marker)
Flat Marker Material: Granite _____ Other __________________ (Maximum size: 2 feet wide x
1 foot 6 inches deep; minimum depth 3 inches installed at ground level)
Inscription on Marker:
Date of Application:
Estimated Date of Placement:
Permit Fee:
Cash
Application Completed By
Cheque
Signature of Applicant
PLOT MARKER
1.50 METERS
BASE –MAXIMUM 3 FT 6 IN X 1 FT 6 IN MAX HEIGHT 3 IN.
VASE MUST BE INSTALLED ON BASE
MINIMUM 1 INCH IN FROM EDGE
2.80 METERS
2.80 METERS
MONUMENT – MAX HEIGHT INCLUDING
BASE NO MORE THAN 8 IN FROM GROUND
OR FOUNDATION
Vase to be Minimum 1 inch in from edge of base