The sign over downtown Phoenix shows Trump alongside mushroom clouds, swastika-shaped dollar signs and the Russian flag. Along the back, five fists form the sign language letters for the word "unity."
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Santa Monica artist Karen Fiorito has claimed responsibility for the display, which was commissioned by a Phoenix art gallery.
Fiorito posted on Facebook that she is expecting backlash and even "death threats" from Trump supporters. Indeed her post has comments that call her a "sick individual" and "disgusting," although others praised it as a "lovely, provocative work."
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The same artist and gallery were behind another controversial billboard in 2004 that targeted then-President George W. Bush.