Reported By:   Name:   Address:   Phone:   Email: Graffiti Information:   Address:   Street Location:   Graffiti Description:   Approximate Size: Select from below Less than 1 foot 1 ft to 5 ft Greater than 5 feet   Property Type: Private Public City Boulevard Park Private Property - Fence or Wall Hydro Pole Light Standard Mail Box Side Walk   Other:   Comments: Question 1     Have you reported graffiti on the same site to us before? Yes   No       Question 2     Have you reported the graffiti to the police? Yes   No       Freedom of Information: The personal information on this form is collected under authority of subsection 15.1(3) of the Building Code Act, S.O. 1992, c. 23 and City of Mississauga By-law 654-98 as amended. The information will only be used to follow up on complaints about graffiti. Questions abou the collection of personal information should be directed to the City of Mississauga Freedom of Information Coordinator or at 905-896-5421.