Date*

Nature of Complaint

Please mark all that apply:*

Animal Business (Residential/Home occupation) Construction Debris Neglected Structure Environmental High Grass Trash and Debris

Illegal Residence Junk (Inoperable) Vehicles Kennels (Commercial) Building without Permit Roadside Vendors Signs Yard Sales

General Location*

Select one Adamsville Bevilles Corner Bushnell Center Hill Coleman Croom-a-coochee Gant Lake Lake Panasoffkee Linden Nobleton Oxford Royal Sumterville Tarrytown The Villages Wahoo Webster Wildwood

Property Address of Violation*

Directions to Property*

COMPLAINANT INFORMATION

Complainant Name*

Street/Mailing Address*

City*

State*

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Zip Code*

Daytime Phone*

Complainant Email*

PROPERTY OWNER INFORMATION

Property Owner Name

Street/Mailing Address

City

State

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Zip Code

Phone

OCCUPANT/TENANT INFORMATION

Occupant/Tenant Name

Street/Mailing Address

City

State

Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMassachusettsMarylandMichiganMinnesotaMississippiMissouriMontanaNorth CarolinaNorth DakotaNebraskaNevada New Hampshire New JerseyNew MexicoNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWest VirginiaWisconsinWyomingWashington D.C.

Zip Code

Phone

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