Orange County NC Website
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n~ <br />~,, _. <br />!`N11:?6 Ut Pn=iR~Y <br /> <br />Atxope of property _ ~ .? _'t c r c <br />t1TtY! Rafenr>tces <br />{Place UTM ret»;trrf~:sa ~r- s auttinttetion stueM.; <br />Zone I Easti:sg Northing <br />Ver~si Boundary Qe>rcrlptlat <br />{Describe tt» bounderes a! tfw properirr Cn a cOnt•,nuaticn sheet.) <br />.J L... w_J .. !..ti~_.. <br />Z•~'>F Easmti: <br />~ "f _t 4 I <br />t--. _. - <br />!.. ~ Ce3+ GCr:1tn~8GOrt Yh3et <br />1 <br />' -1----__._....~.._ <br />w. J_J__._.. i._J_.J... <br />Bc>,undary .7us;tifftation <br />{Explain why the b0urlderios were selectet; en a conti!t:.rati0n Shee1.1 <br />i 1. Forrr- Preptred 8y - ~-------- <br />nameltitle Patrici.z ;, nickinson, Consulti,nt - _----__ <br />organization <br />street 3 number . ~ u I~ 5 C?Unt ~~~~ ._.._ <br /> <br />.__- _ t'~phcrte `~ 919`-'~ X 3 2=5 4 3 9 <br />ci!y cr town __ `:ills>>orour,l - `_- aYata ^~T~ ' <br />-- - --- _.. ~ zlp s'oue . 2 7 t 7 ~i _. -- -- <br />Atidittfuna! Docurr~emation <br />Submrt the tabwrng itema •Nith the o0rt+pl~ted brm• <br />Catt>tintuatbn Stoats <br />~~~ <br />~- :lSG3 map {?.~ or 15 minute series) indit:ating ?tte property's loa:at>cn. <br />A Sketch map for "istotic ~rS',rfCts aid properties 'lavirx3 iarr~.e acreage or ~tj~.~rc~s r.tt~tsrc3s. <br />Phott~graphs <br />Representat~~e bis~ck and avhlte ptataSraphs ei th!s prcpr~lry. <br />Addftlona~ fterr-a <br />(Cheek wtfh tt-e SHP(3 0+ FPJ foe any 9odrtip^.vi itemaj <br />(ContpNte this ittxtt st <br />request or SHPG a <br />nat~te _2ouert ~1~ ~C=ol~n ~~n~: Di.~ny '•~iontc~oalerv ~--^_-__,_...-_.--- --_- _ - <br />Str6et & nurttber 1ti ~ V !;'.'+u 11 r a =111 _s2O ZC --._ ~__._. te'!lr~phon~ _--..,. ~ ~, 9~ _!0_i~ ~''•_ ~ ~~,~, __.. . <br />ct:~ Or town -._~: i l anc.' -------------- -- state .-=` ~~ ---- zin ~~ ~ 7~~...3.._ ....~ <br />~epenlYGrk PtedfiCllort ACt StaKereterK: 'ttrs infCtM.gtlQr: Il4 iJAti ~ ^.[.8acferf t:'! avpl;i::ll!:N:S i0 l~n :Vy !AAA! ~'lt/.^~!ri~9r •^,: tilYfr.Ylt Fiac:sl8 t`: "!~Y•tf't~,itc <br />properties for irshny ar detarrrrne eiigttHlity tar iietiny, tc lict u~oper`.ies and b ar^~snC Must r~ iirtm y >ie;~on,e to tris :..r-~qYt H4 I~L'i•'tlf! •'.. ~~:':1'. <br />3 b9rlettt iR sccotd~ncs ~rtitt iha Pu.Lanat Nfsrctcic Pnsen~•atio:~ A.^t, 3d dn.er:f!)'! ('$ '...~.~. $:rt: 41 .7.iy.). <br />Eitlnfe/b tSurdM $tetement: F'UG!i;; r!!'jYJRlny^ ht;t~2lM ~M i,':IS iart!! .s 9Stttiatr.+d to §~'tfr3{~l~ i8.1 .`,64rG !`d: !kyj;W'.!Fr i:t„!t„ tt!rl;~ ::t~5`•r ~+F1'6W:~,. <br />inSiR:c:t10r+S. ,;ttht3(itY~ 3i10 Ti8lnta~Aiil^y 0813. and CLr'';yfF1i^g trot; rV~°itP+!•+A4 itib ?,'.t!'1 inrpCt :3~!!.^`6!5:1 f~arr_li '~~, ;r1!~ '~UrO!!I'! PStit'!itlZ 'N ~ ti~gac': <br />Jt ttiS !tN!^ +0 th9 r:!1i8!, Ad~td~u ! tiv S ! S ~ ~' :^ ' ~'. mil` . k ! >~ ~: r' . _ :•.! !' ~ ",",: <br />Yt y r .evtt63 [ i`•:SirN: .I@ r~rwi :!f`t .zr•'::57, Y v ;.~ :-T, ':i3RTi.^iC.C'.' :r t _ , <br />„Aanagrxnx~: Anal OUQQet. ~B~aRifiMfK A~y:~r_:K~'fa r~tOiAt:tE .1~'•a.AC:3j ."r3~hiny:ar', '.h. ??C3 - <br />