check below to accept or decline free graffiti …...si marca esta opción y en este momento hay...

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_____________________________________________________________________ ______________________________________________________________ GRAFFITI VANDALISM REMOVAL FORM Graffiti vandalism is illegal in Denver. Help keep Denver graffiti-free by authorizing the City to remove graffiti from your property free of charge! CHECK BELOW TO ACCEPT OR DECLINE FREE GRAFFITI PUBLIC WORKS/ NEIGHBORHOOD INSPECTION SERVICES REMOVAL SERVICES OFFERED BY THE CITY OF DENVER I authorize the City and County of Denver (employees or contractors) and any volunteer group approved by the City to attempt to remove unlawful and unwanted graffiti from my property without charge using available methods and equipment. If you checked above and you currently have unwanted graffiti on your property and would like it removed, please specify the location of the graffiti: I do not authorize the City and County of Denver to remove graffiti vandalism from my property. NOTE: If this box is checked, you must have the graffiti vandalism removed from this property within 48 hours (non-residential property) or 72 hours (residential property) following notification. I give my consent for the markings/drawings on my property, and I do not authorize the removal of these markings/drawings. Indicate location of authorized markings (example: west garage wall, south side of fence, etc.):____________________________________ NOTE: If this box is checked, the City will be unable to provide abatement assistance at this location AND you will be responsible for the removal of all other unauthorized graffiti vandalism from this property within 48 hours (non-residential property) or 72 hours (residential property) following notification. I am the owner or responsible party of the property located at: Street Address ______________________________ ______________________________ Printed Name Signature ______________________________ ______________________________ Daytime Telephone Date NOTE: When authorizing graffiti removal, the owner or responsible party understands that the City and County of Denver or its contractor does not guarantee the structural or aesthetic soundness of the areas from which graffiti will be removed and that even in the exercise of due care, damage or injury to real or personal property may result from this activity. I hereby agree to indemnify and hold harmless the City and County of Denver, their officers, agents, employees, and servants, from and against any and all claims, liability, expense, including defense costs and legal fees, and claims for damage of any nature whatsoever, including but not limited to bodily injury, death, personal injury, or property damage arising from or connected with the City and County of Denver’s graffiti removal activities. This document will remain in effect until modified or terminated by the property owner, his or her representative, or the City. Notification shall be in writing. I have read the above and understand it. SUBMIT BY MAIL RETURN COMPLETED FORMS Print, Sign, and Send to: Use this button to submit electronically now: Neighborhood Inspection Services 201 W. Colfax Ave., Dept. 303 Denver, CO 80202 SUBMIT NOW BY EMAIL SUBMIT BY FAX: 720-865-3287 [email protected] Questions? Call 3-1-1 Help Denver Give Graffiti Vandalism The Brush Off! For additional information on becoming a “Brush Off” partner or to obtain tips to prevent graffiti vandals from targeting your property, visit www.DenverGov.org/Graffiti or call 3-1-1

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Page 1: CHECK BELOW TO ACCEPT OR DECLINE FREE GRAFFITI …...Si marca esta opción y en este momento hay graffiti que desea eliminar de su propiedad, indique dnde se encuentran: No autorizo

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GRAFFITI VANDALISM REMOVAL FORM Graffiti vandalism is illegal in Denver. Help keep Denver graffiti-free by authorizing the City to remove graffiti from your property free of charge!

CHECK BELOW TO ACCEPT OR DECLINE FREE GRAFFITI PUBLIC WORKS/ NEIGHBORHOOD INSPECTION SERVICES REMOVAL SERVICES OFFERED BY THE CITY OF DENVER

I authorize the City and County of Denver (employees or contractors) and any volunteer group approved by the City to attempt to remove unlawful and unwanted graffiti from my property without charge using available methods and equipment. If you checked above and you currently have unwanted graffiti on your property and would like it removed, please specify the location of the graffiti:

I do not authorize the City and County of Denver to remove graffiti vandalism from my property. NOTE: If this box is checked, you must have the graffiti vandalism removed from this property within 48 hours (non-residential property) or 72 hours (residential property) following notification.

I give my consent for the markings/drawings on my property, and I do not authorize the removal of these markings/drawings. Indicate location of authorized markings (example: west garage wall, south side of fence, etc.):____________________________________ NOTE: If this box is checked, the City will be unable to provide abatement assistance at this location AND you will be responsible for the removal of all other unauthorized graffiti vandalism from this property within 48 hours (non-residential property) or 72 hours (residential property) following notification.

I am the owner or responsible party of the property located at:

Street Address ______________________________ ______________________________ Printed Name Signature ______________________________ ______________________________ Daytime Telephone Date NOTE: When authorizing graffiti removal, the owner or responsible party understands that the City and County of Denver or its contractor does not guarantee the structural or aesthetic soundness of the areas from which graffiti will be removed and that even in the exercise of due care, damage or injury to real or personal property may result from this activity. I hereby agree to indemnify and hold harmless the City and County of Denver, their officers, agents, employees, and servants, from and against any and all claims, liability, expense, including defense costs and legal fees,andclaims for damage of any nature whatsoever, including but not limited to bodily injury, death, personal injury, or property damage arising from or connected with the City and County of Denver’s graffiti removal activities. This document will remain in effect until modified or terminated by the property owner, his or her representative, or the City. Notification shall be in writing. I have read the above and understand it.

SUBMIT BY MAIL RETURN COMPLETED FORMS Print, Sign, and Send to: Use this button to submit electronically now: Neighborhood Inspection Services 201 W. Colfax Ave., Dept. 303 Denver, CO 80202 SUBMIT NOW BY EMAIL SUBMIT BY FAX: 720-865-3287 [email protected]

Questions? Call 3-1-1

Help Denver Give Graffiti Vandalism The Brush Off! For additional information on becoming a “Brush Off” partner or to obtain tips to prevent

graffiti vandals from targeting your property, visit www.DenverGov.org/Graffiti or call 3-1-1

Page 2: CHECK BELOW TO ACCEPT OR DECLINE FREE GRAFFITI …...Si marca esta opción y en este momento hay graffiti que desea eliminar de su propiedad, indique dnde se encuentran: No autorizo

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FORMULARIO PARA LA ELIMINACIÓN DE GRAFFITI Los graffiti (o grafitos) son una forma de vandalismo ilegal en Denver. Ayude a mantener la ciudad libre de graffiti: con su autorización, ¡la municipalidad de

Denver puede eliminar las pintadas de su propiedad en forma gratuita!

PUBLIC WORKS/ MARQUE UNA DE LAS OPCIONES SIGUIENTES PARA ACEPTAR NEIGHBORHOOD INSPECTION SERVICES O RECHAZAR LOS SERVICIOS DE ELIMINACIÓN DE GRAFFITI QUE LA

CIUDAD DE DENVER OFRECE GRATIS.

Autorizo a la Ciudad y Condado de Denver (empleados o contratistas) y a cualquier grupo de voluntarios aprobado por la ciudad para que traten de eliminar los graffiti ilegales y no deseados de mi propiedad sin cargo alguno, utilizando para ese fin los métodos y equipos disponibles. Si marca esta opción y en este momento hay graffiti que desea eliminar de su propiedad, indique dónde se encuentran:

No autorizo a la Ciudad y Condado de Denver para eliminar los graffiti que los vándalos pinten en mi propiedad. NOTA: Si marca esta opción, le corresponderá a usted eliminar los graffiti de esta propiedad dentro de 48 horas (si no es residencial) o de 72 horas (si es residencial) a partir del momento en que reciba notificación al respecto.

Doy mi consentimiento para que se conserven los dibujos o pintadas en mi propiedad y no autorizo la eliminación de dichos dibujos o pintadas. Indique dónde están las pintadas que desea autorizar (por ejemplo: la pared oeste del garaje, el lado sur de la cerca, etc.):

NOTA: Si marca esta opción, la municipalidad no podrá ayudarle a eliminar las pintadas de este lugar Y ADEMÁS le corresponderá a usted quitar todos los demás graffiti no autorizados de esta propiedad dentro de 48 horas (si no es residencial) o de 72 horas (si es residencial) a partir del momento en que reciba notificación al respecto.

Soy el propietario o la persona responsable de la propiedad ubicada en:

Dirección

Nombre en letra de molde Firma

Teléfono durante el día Fecha NOTA: Al autorizar la eliminación de los graffiti, el propietario o la persona responsable comprende que la Ciudad y Condado de Denver o su contratista no garantizan la integridad estructural o estética de las áreas de las cuales se eliminen las pintadas y que, incluso si se trabaja con la diligencia debida, esta actividad puede dañar o estropear los bienes reales o personales. Por la presente me comprometo a indemnizar y exonerar a la Ciudad y Condado de Denver y a sus representantes, agentes, empleados y funcionarios de toda responsabilidad ante cualquier reclamo, deuda o gasto, incluidas las costas por defensa y los costos judiciales, así como reclamos por daños de cualquier naturaleza, incluidos, en forma enunciativa y no limitativa, las lesiones corporales, la muerte y los daños personales o materiales que surjan o estén relacionados con las actividades de eliminación de graffiti que lleve a cabo la Ciudad y Condado de Denver. Este documento se mantendrá vigente hasta que lo modifique o cancele el propietario de la vivienda, su representante o la Ciudad. Toda notificación al respecto deberá realizarse por escrito. He leído esta información y la comprendo.

DEVUELVA ESTE FORMULARIO Enviar este formulario por correo: Neighborhood Inspection Services Correo electrónico 201 W. Colfax Ave., Dept. 303, Denver, CO 80202 neighborhood.inspectionservice Por Fax: [email protected] ¿Tiene preguntas? Llame al 3-1-1

¡Ayude a eliminar los graffiti de Denver "a pinceladas"! Para obtener información adicional sobre cómo puede participar en la iniciativa Brush Off y enterarse de las medidas que puede tomar para evitar que los vándalos pinten graffiti en

su propiedad, visite www.DenverGov.org/graffiti o llame al 3-1-1.