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11 <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; V <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: G AtGCu <br /> Address: I 7 2 Si 5 <br /> City: C it State: /\ Zip Code: 276-4 <br /> Phone Number(Day): 4!4'-q - `t /5q (Evening): <br /> E-Mail: G <br /> PROPERTY INFORMATION: <br /> Property Location/Address(s): «��` �l r� 12s2T c- f JJ c ,.7PI <br /> Agriculture District/Township: ""4"'/lieu- <br /> Lt°'?M <br /> '1 <br /> Parcel Identification Number (PIN):417 ��" Acres / ((3 °(3) <br /> Parcel Identification Number (PIN):' -69-� -- 3/Acres "el, 0 t <br /> Parcel Identification Number (PIN): Acres <br /> Parcel Identification Number (PIN): Acres <br /> Parcel Identification Number (PIN): Acres <br /> Parcel Identification Number (PIN): Acres <br /> Total Number of Acres on all tracts of land: IS ((7`1v) <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: X 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: a No: If"No", please complete back of form <br />