Location/Description of Graffiti Street Address: (Location of graffiti) Nearest Cross Streets: Is this your property? (If YES, a Waiver form will be required) Yes  Waiver Form No What Type of Property is this? House Business Church School Apartment Parking Lot Fence/Wall Street Sign Light Pole Other (please describe)   Identify Structure Surface Material: Concrete Cinder Block Brick Stone Wood Stucco Aluminum/Metal Other Original Structure Surface is: Painted Not Painted Brief Description of Graffiti: Your Name (Optional): Your Phone Number (Optional):

Contact Information Graffiti Hotline (559) 600-8107 Informational Handout