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3 <br /> 1997 HISTORIC PRESERVATION FUND (HPF) APPLICATION FORM <br /> State Historic Preservation Office <br /> North Carolina Division of Archives and History <br /> I. PROJECT INFORMATION (Please type or print with black ink) <br /> Title: St Mary's Road/Trading-Path Historic Corridor <br /> Project Type: <br /> Archaeological Investigation <br /> Architectural Survey <br /> Survey Manuscript <br /> X _ National Register(NR) Nominations <br /> Architectural/Engineering Studies <br /> Restoration/Rehabilitation (NR Property) <br /> Other(Specify) <br /> II. APPLICANT INFORMATION <br /> Contact Person: Donald R.Belk Title: Preservation Planner <br /> Address: 306F Revere Road <br /> Hillsborough.NC 27278 Telephone: (919)732-8181.ext.2594 <br /> fax: (919)644-3002 __ ___e-mail: dbelkQco.orange.nc.us <br /> Applicant Organization or Agency: Orange Coa+ <br /> Applicant Organization or Agency federal ID#: <br /> Certified Local Government(if applicable) Certification effective April 13 1993 <br /> Local Matching Funds: (non-federal)Attach list if necessary <br /> Donor: Orange County <br /> Source: General Fund <br /> Date Available: Ju x1. 1997 Kind (cash/other) Cash/In-Kind Amount: $8.000/$4,000 <br /> Local Project Coordinator: Same as Contact Person(above) <br /> Address• <br /> Telephone: <br /> fax: e-mail: <br /> John Link County Manager January 21 1997 <br /> SIGNATURE AND TITLE: Officer of Applicant Organization DATE <br />