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Text Version
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Graffiti Removal Request Form
Choose from the following:
Checkboxes
Checkbox Description
Checkboxes
Checkbox Description
Graffiti Is on my property
Message Is racial or hate in tone
Please provide the following information:
Field Description
Field Data
Required Field
Name:
required
Email:
required
Phone:
required
Surface
Field Data
Painted Stucco
Painted Wood
Brick
Unpainted Block
Painted Block
Other
Type of Property
Field Data
Commercial
Residential
Public
Physical address of graffiti