Crescent City, CA · Del Norte County
Memorial Bench Application
Crescent City residents use this application to request a memorial bench and provide proposed locations and plaque details for city review.
What this form is
This application lets a person request a memorial bench to commemorate family or friends, and asks for contact information, the person being remembered, plaque text, and three desired locations. The city reviews the application and plaque design for approval before installation. Applicants must include a visual depiction of the plaque and a $1,500 check; additional fees may apply if staff determines a concrete foundation pad is needed.
Who needs it
Anyone requesting a Crescent City memorial bench must complete the application and provide the plaque depiction and payment for city review.
How to submit it
Mail the completed application, a visual depiction of the plaque, and a $1,500 check payable to “The City of Crescent City” to Crescent City Hall, 377 J Street, Crescent City, CA 95531.
About notarization
This document is signed without a notary; the applicant signs and dates the agreement, and no notarized or sworn attachment or related step is specified.
How to submit this form
- 1
Download The Application
Download the Memorial Bench Application PDF.
- 2
Complete The Application
Enter your contact information, the name being commemorated, plaque text, and three desired locations; sign and date the agreement.
- 3
Gather The Required Items
Include a visual depiction of the plaque and a $1,500 check payable to “The City of Crescent City.”
- 4
Mail The Request
Mail the application and included items to Crescent City Hall, 377 J Street, Crescent City, CA 95531.
Frequently asked questions
- What does the Memorial Bench Application ask for?
- It asks for the applicant’s contact details, the name being commemorated, the plaque text, and three desired locations. Include a visual depiction of the plaque.
- How do I submit the Memorial Bench Application?
- Mail the completed application, plaque depiction, and a $1,500 check payable to “The City of Crescent City” to Crescent City Hall, 377 J Street, Crescent City, CA 95531.
- Do I need a notary for the Memorial Bench Application?
- No. The applicant signs and dates the agreement; the document does not specify any notarized or sworn attachment or related step.
- Does submitting the application guarantee a memorial bench?
- No. City staff and the listed city officials review the request, location, and plaque design. The program does not create a right to place a bench.