Updated Adopt-A-Spot Beautification Program Application

Adopt-A-Spot Beautification Program Application

The information contained in this application, including any modifications resulting from the technical review process, is considered the Beautification Proposal and Maintenance Plan for purposes of the resulting Agreement.
Name of Organization/Individual:
Contact Name:

First NameLast Name
Email:
example@example.com
Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Location of proposed Adopt-A-Spot Beautification Site:
With whom have you discussed your interest in adopting the site for beautification:
What size is the plant bed, planter, or site (in feet or inches as appropriate)?:
What plants do you propose to use in the beautification project (in addition to providing a description please include a sketch/drawing to indicate the location of proposed plantings):
Upload Sketch:

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What is your plan for maintaining the site on a regular basis?:
Who will participate in maintaining the Adopt-A-Spot Beautification site?:
How will your volunteers be kept safe during their project times?:
The proposal will be reviewed by HCCC staff and forwarded to the appropriate City department(s) and other public bodies, as needed, for technical review and approval.

HCCC staff will notify the adopting individual or organization regarding the outcome of the technical review.

By submitting this application, the applicant confirms they have reviewed the Beautification Program information at hampton.gov/1757/Beautification, including the Beautification Agreement and its Terms and Conditions, and the applicant understands that their application is not approved until a Beautification Agreement has been fully executed by both the applicant and the City.

Please read the following and sign the application form below.

I hereby certify that all answers and statements made on this application are complete and accurate. I understand that any misleading, misrepresentation and/or omission of information on the application is grounds for discharge from the program.

Please sign and date below to signify your certification:
Signature
Should be Empty:

Adopt-A-Spot Beautification Program Application

Please read the following and sign the application form below.