Required fields are marked with asterisks (*)

Cemetery monument permit

If you have questions about this form, contact the Parks Department:

Phone: (303) 335-4768
Email the Cemetery Supervisor
Email the Parks and Open Space administrative assistant

Company name

Company phone number

Contact Person

Address

City

State

Zip code

Please note: Foundation dimensions may not exceed 3 feet in length for a single grave or 6 feet for a double grave, with a maximum width of 2 feet. The foundation must extend 3 inches beyond the monument base on all sides and must be made of concrete. Please provide at least 36 business hours’ notice so the area can be flagged.

Monument style:

Wedge

Monument

Grass marker

Other

Material:

Bronze

Granite

Marble

Location of memorial on plot:

Head of one

Center of two

Other

Foundation size:

Foundation height:

Date of installation of foundation:

Monument:

Name of deceased

Date of birth

Date of death

Location:

Block:

Lot:

Plot:

I authorize the placing of the memorial on the above-mentioned site:

Signature of party responsible for interment

Clear

Date