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e <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 VADIEVAD 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 />Address: -5:332_ `fir P, . <br />City: Ht c C State: %/ Zip Code: .5v? <br />Phone Number (Day): 9l `l- & 6 Z t 04 (Evening): <br />E -Mail: r rr ce, b e_ll sou /i ct <br />PROPERTY INFORMATION: <br />Property Location /Address(s): S_ -3 17? 2 iee_r e e. — <br />Agriculture District /Township: auk zwr J�J <br />Parcel Identification Number (PIN): yB303 0Z 1 #1 Acres RRI. 43 <br />Tee.r- <br />Parcel Identification Number Acres �� C3 rl2IK <br />Parcel Identification Number (PIN): 9'Y5,? YOU}? Acres 7. <br />Parcel Identification Number (PIN): <br />Acres <br />Parcel Identification Number (PIN): q6 2d2 16Z 33 Acres / `l - �?46 <br />Parcel Identification Number (PIN): 1930 731?'% Acres 16, <br />Total Number of Acres on all tracts of land: 07? <br />Does this land have a plan on file with the USDA - Natural Resources Conservation Service or <br />the NC Forest Service? <br />Yes:— 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: No: If "No ", please complete back of form <br />