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Lumpkin County Adopt A Road Program

2. Adopt a Road Form
   Use this form is you would like to Adopt a Road in Lumpkin County to pick up trash.

   Use this form is you would like to Adopt a Road in Lumpkin County to pick up trash.

4. Name

5. Email Address

7. Address

9. City

10. State

11. Zip Code

13. Phone Number

14. Cell Number

16. Road you wish to adopt

    Please list the road or portion thereof you wish to adopt

18. Name or Organization

19. Number of People

Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit Submit and Print

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