DIRECTIONS: Please fill out this form as completely
as you can. We ask that you use a separate form for each location where
there is graffiti for which you are requesting cleanup. If you have any
questions, pleas contact Stephanie Forrest, North District Community Prosecutor
at 327-6116, or Ann Rene, North District Community Advocate, at 327-6115.
| Name of Person Completing Form: |
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| Name of Neighborhood Group: |
Herron Morton Place Association
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Location of graffiti: Please give as specific a location as
possible. Addresses which number and street name are best. Pleas
also include the name of the person owning the building. WE MUST
OBTAIN THE CONSENT OF THE OWNER OF ANY PRIVATE PROPERTY BEFORE WE CLEAN UP GRAFFITI
ON PRIVATE PROPERTY.
| Address where graffiti appears: |
|
| Name of building (if applicable): |
|
| Name of owner of building (if known): |
|
| Phone number of owner of building (if known): |
|
|
| Description of graffiti (i.e., what does
it say, if you can read it?): |