Contact Information
  
Owner/Agent of property:
Email:
Phone number:
  
Property Information
  
Address of property:
Type of structure:
Property description:
  
Release
  
By submitting this form I declare that I am the owner of the property at the above noted address and give permission to the City of Colorado Springs, the City's agent contractor to utilize the means they determine appropriate to remove or conceal the graffiti at the said location. I agree to release and hold harmless the City of Colorado Springs and the City's contractor from any calims resulting from working on my property.

I understand that only the area covered by the graffiti will be worked on and not the entire structure. I further understand that none of the individuals participating in the activity are responsible for removing or concealing the graffiti expressly to my satisfaction.

 
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Workout Ltd.
220 Ruskin Drive  •   Colorado Springs, CO 80910  •  (719) 391-2550