Streetscape Application

	Orange County Community Beautification Program Application and Proposal Development Form (please print form to fill out and submit)
Applicant Information		Date____________________
Name of Community/Organization _____________________________________________________________________
Name of Contact Person____________________________________________________________________________
Address ________________________________________________________________________________________
Phone ________________________	Fax ______________________________	Email __________________
Type of Organization _______________________________________________________________________________
	^{(homeowner, school, community organization, etc.)}
Location ________________________________________________________________________________________
Number of Volunteers for Project (list) ____________________________ ____________________________	_______________________________ _____________________________ _______________________________ _____________________________ _______________________________ _____________________________
Best Time for Discussion with Volunteers	Day ________________________ Time _____________________ Evening _____________________ Time _____________________
Program Information Description of Proposed Project (narrative) _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________
Diagram of Proposed Area (sketch or substitute available designs)
Additional information that would be helpful in the evaluation of the proposed Beautification Program
_______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________
Mail to: Streetscape Orange County Beautification Program 6021 S. Conway Rd. Orlando, FL 32812 or fax: 407-850-5125