Agenda - 01-24-2013 - 4f - Laserfiche WebLink

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OWNER[S] CERTIFICATION: I [We], the applicant[s] and landowner(s), hereby certify that, to the best of my [our] knowledge, the foregoing application is complete and accurate. Signature: Date: Signature: Date: Signature: Date: Signature: Date: Signature: Date: Signature: Date: Signature: Date: Signature: Date: Signature: Date: SUPPLEMENTARY INFORMATION: 1. How long have you owned your farm? years 2. How long have you lived on your farm? years 3. Has your farm exceeded $1,000 in gross income in each of the past three years? Yes No 4. How many acres on your farm are under cultivation? Acres (estimated) 5. What are the major crops that you plant each year? 6. How many acres on your farm are used for pasture? Acres (estimated) For questions or more information, please contact: Gail M. Hughes Orange County Department of Environment, Agriculture, Parks and Recreation Soil and Water Conservation Division P.O. Box 8181 -306 Revere Road Hillsborough, NC 27278 (919) 245 -2753 Office (919) 644 -3351 (fax)