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STRATEGIC GROWTH AND RESOURCE CONSERVATION PROGRAM <br />Final (8.7.2009) <br />F. Sample Reporting Figures (MS -Excel native format) <br />Orange County SGRC Program Rural Conservation Area Baseline Report <br />Date <br />Reviewer: <br />Date <br />Reviewer. <br />Participant Information <br />Name: <br />Telephone (Work): <br />Telephone (Home or Cell): <br />Address 1: <br />Address 2: <br />City / Town: <br />Zip Code: <br />Email: <br />Verification Record (Initial <br />Rural Conservation Area Information .D.- each line) <br />ParcellD(S): <br />(separate wtommas) -- <br />Township: Cedar Grove V <br />Watershed: uttle River <br />Total Acres: 50 <br />In Sending Area: *Yes Cto <br />Base Credits: <br />Bonus Credits 0 <br />Wetlands: <br />Historic: <br />Stream: <br />Total Credits: 0 <br />Additional Comments: <br />The information shown is true and correct to the best of my knowledge: <br />Participant Signature Date <br />Orange County staff can contact me if a purchaser becomes available and to verify information: <br />Participant Signature Date <br />ORANGE COUNTY. NORTH CAROLINA • • <br />