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21 <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 />F-1w, sit <br />Name: - Stephen and Marsha Scarlett <br />Address: 1600 Allen Jarrett Dr. <br />City: Mebane State: NC Zip Code <br />Phone Number (Day): 919-619-6200 (Evening): <br />E-Mail: Stephen Scarleft@abss.Kl2.nc.us <br />Property Location/Address(s): Corbett Ridge & Claiborne Rd. <br />Agriculture District /Township: Cedar Grove <br />Parcel Identification Number (PIN): 9920848334 <br />Parcel Identification: Number (PIN): 9920854505 <br />Parcel Identification Number (PIN): <br />Parcel Identification Number (PIN): <br />Parcel Identification Number (PIN): <br />27302 <br />Acres 6.62 <br />Acres 2.63 <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 NiC Forest Service? <br />1211, No I I l!'IM; 1 .1110,1111111! 1 art <br />1111`11111;; 111 11 <br />I I M11TIMOV01 P.1 <br />Yes: xx No: If "No", please complete back of form <br />