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Mural Registration Application

To be registered, murals must be in good condition. A separate application is required for each mural on a site. A single application may be submitted for a permission wall.

Upon review and approval of an application, DCASE will send notice of approval to the contacts listed in the application along with an assigned unique Mural Registration ID number and instructions for placement of the Mural Registry emblem. Within 30 days of receipt of instructions, applicants must provide documentation of the emblem affixed to the mural to complete the registration process.

Questions? Contact the Department of Cultural Affairs and Special Events (DCASE) at muralregistry@cityofchicago.org

Question Title

* Date of application:

Date / Time

Date

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* Primary Applicant (Organization or Individual):

Name

Company

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* Artist(s):

Name:

Company:

Address:

City/Town:

State/Province:

ZIP/Postal Code:

Email Address:

Phone Number:

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* Property Owner (Organization or Individual):

Name:

Company:

Address:

City/Town:

State/Province:

ZIP/Postal Code:

Email Address:

Phone Number:

ARTWORK INFORMATION

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* Title:

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* Description of Mural/permission Wall Site (Mural History, Background, Inspiration, Etc):

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* Media:

Paint

Mosaic tile/ceramic

Other (please specify)

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* Project Address:

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* Location of mural or permission wall: (i.e. Joe's Pizza)

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* Dimensions, Including Height, Width, and Depth:

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* Year Mural was Completed:

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* Ward:

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* Project Leadership Type:

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* Other Participating Artists:

Signatures / Attachments
Artists or organizations submitting an application must upload two images of the mural and a letter of approval from the property owner for the application to be considered complete.

Question Title

* Primary Applicant:
I, as the primary Mural Registry applicant, certify under penalty of perjury that the information provided in this application is correct and true to the best of my knowledge, and I have read and will abide by the Mural Registry Requirements. I confirm that I have agreed to serve as the primary contact for the mural and/or permission wall maintenance and graffiti issues.

Specify relationship: (Artist, Primary Applicant, Community Stakeholders)

Name (print):

Date:

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* Property Owner Certification:
I certify under penalty of perjury that I am the owner or official representative of this project property. I further certify that I gave permission for the placement of the mural and/or permission wall as presented in this application, and have read, understand, and will abide by the Mural Registry Requirements.

Name (Print):

Title (if applicable):

Date:

Attachments:

Photographs of Mural*

Images should document mural in its entirety (single file or multiple files for larger artworks)
Images should document the mural in the context of the surrounding site
JPEGs required (minimum 300 dpi at 5X7 inches)

*Permission wall applicants may submit up to three recent images of artwork and are encouraged to update DCASE staff as artwork changes.

Question Title

* Upload Photograph of Mural:

JPG, JPEG files are supported. Please clearly title all attachments (e.g. RiveraMural_1.jpg)

JPG, JPEG file types only.

Choose File

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* Upload Photograph of Mural:

JPG, JPEG files are supported. Please clearly title all attachments (e.g. RiveraMural_1.jpg)

JPG, JPEG file types only.

Choose File

Question Title

* Upload Photograph of Mural:

JPG, JPEG files are supported. Please clearly title all attachments (e.g. RiveraMural_1.jpg)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Documentation of Permission from Property Owner:

Letter of Authorization or signed agreement from Property Owner (private or City entity)

Question Title

* Upload Documentation of Permission Here:

Only PDF, DOC, DOCX files are supported. Please clearly title all attachments (Property Owner Authorization.pdf)

PDF, DOC, DOCX file types only.

Choose File