Mural Program Application
Address Location of Mural Site
*
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Applicant Information
Name
*
First Name
Last Name
Organization Name (if applicable)
Address
*
Street Address
Street Address Line 2
City
State
Postal / Zip Code
Mailing Address (if different from address above)
Street Address
Street Address Line 2
City
State
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
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Is the applicant also the artist?
*
Yes
No
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Artist Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State
Postal / Zip Code
Mailing Address (if different from address above)
Street Address
Street Address Line 2
City
State
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
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Is the applicant also the property owner?
*
Yes
No
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Property Owner Information
Name
*
First Name
Last Name
Corporation Name (if applicable)
Address
*
Street Address
Street Address Line 2
City
State
Postal / Zip Code
Mailing Address (if different from address above)
Street Address
Street Address Line 2
City
State
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Property Owner Consent (required if applicant is not the property owner)
*
I am the property owner and consent to this mural proposal.
Date
*
-
Month
-
Day
Year
Date
Property Owner Consent Signature
*
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Mural Proposal Information
Mural Title/Working Title
*
Artist Name(s)
*
Artist Resume/Portfolio Upload (max 5 MB)
*
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pdf, doc, docx, jpg, jpeg, png, gif
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Proposed Location (wall, fence, etc.)
*
Dimensions (height x width)
*
Medium / Materials to be Used
*
Proposed Duration of Artwork
*
Proposed Installation Dates
*
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Concept & Design
Concept Statement (attach up to 1-2 pages if needed, max 2000 characters)
*
0/2000
Additional Concept Statement Upload (max 5 MB)
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pdf, doc, docx
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Preliminary Design Image(s) Upload (scaled drawing or digital mock-up of the proposed mural, max 5 MB)
*
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pdf, jpg, jpeg, png, gif
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Feasibility & Maintenance
Detailed Funding Source/Budget Plan (max 500 characters)
*
0/500
Estimated Cost of Project
*
Maintenance Plan (describe who will maintain and how, max 200 characters)
*
0/500
Protective Coatings (UV, graffiti, etc.)
*
Yes
No
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Agreements & Rights
Check Off Each Statement That You Agree To (must agree to all 5 statements below)
*
I agree that the mural will not contain political, religious, sexual, violent, or commercial content.
I agree to grant the City of San Bruno rights to the mural artwork, including waiving rights under CAPA and VARA.
I agree to enter into a mural easement with the City as the property owner (or confirm the owner will do so).
I understand that the mural becomes the property of the City of San Bruno.
I agree to collaborate with City staff and the Culture and Arts Commission during the review and approval process.
Date
*
-
Month
-
Day
Year
Date
Applicant Signature
*
Date
-
Month
-
Day
Year
Date
Artist Signature (if applicant is not the artist)
Date
-
Month
-
Day
Year
Date
Property Owner Signature (if applicant is not the property owner):
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