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City of Corpus Christi

Graffiti Removal Consent Form
Date: 05/21/2018

I,  acknowledge that I am the owner or owner’s,

authorized representative of the property at:
, located in the ZIP code within Corpus Christi, Texas.

I request and authorize the City of Corpus Christi, or its designee, to enter and abate the graffiti on my property. I understand that it is solely at the discretion of the City, or its designee, as to what method or manner is used to abate the graffiti on my property and that the abatement will only occur on the area which the graffiti covers. I further understand that this may result in blocks or strips that do not match in color or sheen to the surrounding area.

I hereby release the City of Corpus Christi, its officers, employees, agents, and volunteers from any and all liability, claims, demands, causes of action or obligations whatsoever, known or unknown, directly or indirectly, arising out of or relating to entry on my property or the graffiti removal, including, without limitation, all liability claims, demands, causes of action or obligations including personal injury, death and property damage, the appearance or condition of the property after the cleaning or removal, or the use of photographs, videotapes or films of the property.

I agree that in the event that I sell the property or am no longer the owner’s authorized representative, I will notify the Corpus Christi Police Department in writing within seven days.

I intend that this consent continue indefinitely until revoked by sending written notice of the revocation to the Corpus Christi Police Department.

Phone Number:  

Alternate Phone Number: