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I <br />rALOra County Agricultural Preservation Board <br />APPLICATION FOR CERTIFICATION AS QUALIFYING FARMLAND <br />AND DESIGNATION AS AN ORANGE COUNTY <br />VOLUNTARY AGRICULTURAL DISTRICT / <br />ENHANCED VOLUNTARY AGRICULTURAL DISTRICT <br />INSTRUCTIONS: Before completing the application, please review the provisions of the Orange County <br />Voluntary Farmland Preservation Program Ordinance, and fill out the form as <br />accurately and completely as possible. Please sign and date the form, and return it to <br />the Department of Environment, Agriculture, Parks and Recreation <br />Soil and Water Conservation District Division <br />PO Box 8181 — 306 Revere Road, Hillsborough, NC 27278 <br />APPLICANT: <br />1 <br />Address: I(,-�,114) °x I —°I- -_ L Vk r s--) . <br />City: C" State: 4 Zip Code: L.-T& <br />Phone Number (Day)O' k S O_,60 (Evening)9 (~) - `(`' -` OG(D <br />E -Mail: <br />PROPERTY INFORMATION: <br />Property Location /Address: <br />Township: <br />Parcel Identification Number (PIN): <br />Parcel Identification Number (PIN): <br />Parcel Identification Number (PIN): <br />Parcel Identification Number (PIN): <br />Parcel Identification Number (PIN): <br />Parcel Identification Number (PIN):, <br />Parcel Identification Number (PIN):_ <br />Parcel Identification Number (PIN): <br />Parcel Identification Number (PIN): <br />Parcel Identification Number (PIN): <br />Number of Acres: [ £ ,10 Deed Book: Page: <br />Does this land have a plan on file with the Natural Resources Conservation Service or <br />NC Forest Service? <br />Yes: No: V If "No", please complete back of form <br />Is this land listed for Present Use taxation with the Orange County Tax Office? <br />Yes: No: ,/ If "No ", please complete back of form <br />I [WE] ARE SEEKING DESIGNATION AS A VOLUNTARY AGRICULTURAL DISTRICT <br />I [WE] ARE SEEKING DESIGNATION AS AN ENHANCED VOLUNTARY AGRICULTURAL DISTRICT <br />Voluntary Agricultural District (VAD) conservation agreements are for a period of ten years. The <br />landowner may revoke the agreement through a written request to the County. <br />Enhanced Voluntary Agricultural District (EVAD) conservation agreements are for a period of ten years, <br />but cannot be revoked during the term of the agreement. EVAD enrollment, however, offers landowners <br />additional benefits such as a higher percentage of cost -share funds under the Agricultural Cost Share <br />Program. <br />