Graffiti Abatement Request Form
Address of Property to be Painted:
Zip Code:
Name of Property Owner:
Telephone Number:
Date:
Month
January
Feburary
March
April
May
June
July
August
September
October
November
December
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Color Preference:
Grey
Off White
Pale Yellow
Sandstone
Painter's Choice
Unknown
What to Paint:
Low Wall
High Wall
Back Wall
Just Graffiti