THIS FORM MUST BE COMPLETED AND RETURNED TO THE TOWN OF DEVON
BEFORE STARTING WORK ON THE MONUMENT TO ENSURE THAT ALL
SPECIFICATIONS ARE MET.
PLEASE NOTE: A monument will not be permitted to be mounted in Peace
Cemetery without approval and receipt of the inspection fee filed by this office.
Permission to Install Monument – Peace Cemetery
_______________________________________ (name of company) has permission to erect the headstone or
monument of the late _____________________________as per design and specification submitted herewith at
Section___________ Block (Row) __________ Plot___________ Sub-section_________ (urns only)
in the Peace Cemetery, provisions of the Peace Cemetery Bylaw #453 of which to be duly complied.
Date: _______________________
Specifications of Monument:
Full face area of monument____________________
Thickness_______________
Base Length____________
Maximum: 3 feet, 6 inches (42”)
Height _____________
Maximum: 4 feet, 10 inches (58”)
Width
Length
Base Width _________
Maximum: 1 foot, 2 inches (14”)
______________________________
Plot Owner
___________________________________
Monument Sales Person Name (print & sign)
_____________________________
Name of Deceased
___________________________________
Sales Person Phone & Fax
Drawing or photo of proposed monument.
___________________________________
Sales Person Email address
___________________________________
Town of Devon Representative
Inspection Fee: $30 + GST
For office use only
Date Paid_______________
Receipt #______________________________
Personal information is collected in accordance with section 3 of the Municipal Government Act and section 33(c) of the Freedom of Information and
Protection of Privacy Act (FOIP) and is protected by FOIP. If you have any questions about the collection and use of your information, contact the FOIP
Coordinator at 780.987.8303. Information will be used to coordinate program registration and to notify you of any program cancellation.
Monument Specifications
Peace Cemetery, Devon, Alberta
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Flat, pillow or upright monuments are accepted in Peace Cemetery.
All monuments must be placed on a concrete runner (supplied by the Town).
No vases, etc. may be set on the grass.
No inverted vases may be cut through the concrete runner.
Monuments must not exceed the following dimensions:
Length of base: 3 feet, 6 inches (or 42 inches)
Width of base: 1 foot, 2 inches (or 14 inches)
Height of total monument (base included): 4 feet, 10 inches (or 58 inches)
NOTE: Monument and base are placed on top of an already supplied concrete runner.
Please return form and payment to:
Town of Devon
1 Columbia Ave. W.,
Devon, AB T9G 1A1
Phone: 780-987-8300 Fax 780-987-4778