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iN <br />APPLICATION FOR CERTIFICATION <br />AS QUALIFYING FARMLAND AND DESIGNATION AS AN ORANGE COUNTY <br />VOLUNTARY AGRICULTURAL DISTRICT <br />OR <br />ENHANCED VOLUNTARY AGRICULTURAL DISTRICT <br />INSTRUCTIONS: <br />Before completing the application, please review the VAD /EVAD brochure provided; <br />Complete the form as completely as possible; sign and date the form, and return to: <br />Gail M. Hughes <br />Orange County Dept. of Environment, Agriculture, Parks and Recreation <br />Soil and Water Conservation Division <br />P.O. Box 8181 (306 Revere Road) <br />Hillsborough, NC 27278 <br />APPLICANT: <br />Name: Cedar Grove Farm , Inc. c/o Kathy Caruthers Shambley <br />Address: 4223 Efland Cedar Grove Rd. <br />City: Hillsborough State: NC Zip Code: 27278 <br />Phone Number (Day): 919 - 451 -2472 (Evening): 919 - 732 -5177 <br />E -Mail: kshamblev ancenturvlink.net <br />PROPERTY INFORMATION: <br />Property Location /Address(s): 4223 Efland -Cedar Grove Rd., (farm primary address) <br />Agriculture District /Township: Cedar Grove District <br />Parcel Identification Number (PIN): 9857140619 Acres 74.32 <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 />Total Number of Acres on all tracts of land: 74.32 <br />Acres <br />Acres <br />Acres <br />Acres <br />Acres <br />Does this land have a plan on file with the USDA - Natural Resources Conservation Service or <br />the NC Forest Service? <br />Yes: XXX No: If "No ", please complete back of form <br />Is the land enrolled in Present Use Value taxation program with Orange County Tax Office? <br />Yes: XXX No: If "No ", please complete back of form <br />