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i <br /> 11 <br /> Orange County <br /> Agricultural Districts Advisory Board <br /> STAFF CHECKLIST FOR <br /> VOLUNTARY AGRICULTURAL DISTRICT SELECTION <br /> Date Application Received: 281 9 2, <br /> APPLICANT NAME: `-1-e—.r ' Uo 6@r'boct.ur— <br /> PROPERTY INFORMATION: <br /> • <br /> " � I 1 t <br /> •Property Location/Address. 2 a'b 3 5�' Y�Ck ri-f g 044.8 h t\`56bro ue� , \�'. z:72.78 <br /> 'Township: .lncD 5 Tax Map: 14 GBlock: Lot: 1 k <br /> •Parcel Identification Number [PIN]: '1 g 7b— 1 E <br /> *Number of Acres: 16U 5 a Deed Book: t-74 Page: 21 a <br /> T-4 7 <br /> CERTIFICATION CRITERIA REVIEW: t 1,2 S t 5 <br /> •Meets acreage requirements of: $p G <br /> [1] One farm containing at least 135-contiguous acres; OR <br /> Yes: No: Initials: T (' Date; 11 121 et Z <br /> [2] Two or more contiguous farms containing at least 155 acres. <br /> Yes: No: Initials: Date: <br /> *Participating in farm present use-value taxation program. <br /> Yes: ✓ No: Initials: trrI CL Date: 1 t f I /9 Z <br /> •Certified by Soil Conservation Service as to land suitability. <br /> Yes: �/ No: Initials:. f'a C- Date: (l / d/9 Z. <br /> *Managed in accordance with SCS defined erosion control practices. - N <br /> Yes: \/ No: Initials: `- c C Date: U. /3 6 f <br /> CERTIFICATION/DESIGNATION ACTION: <br /> • Date <br /> 7 <br /> •Application reviewed for completeness. <br /> � 21 2... <br /> • •Application forwarded to <br /> -Tax Supervisor's Office. 1 1 71,'2./9. Z- <br /> • -Soil Conservation Service. 1 1/l2-/ Ct z <br /> *Evaluation received from <br /> -Tax Supervisor's Office. 1 t A71,9 Z <br /> -Soil Conservation Service. 1 LACE 19 2_ <br /> 'Application presented to Agricultural Advisory Board. <br /> • [1] Qualifying farmland certification approved. Yes: No: <br /> • Reason: <br /> [2] Recommendation for district designation approved. Yes:_No: <br /> Reason: <br /> •Application presented to Board of Commissioners. <br /> [1] Agricultural district designation approved. Yes: No: • <br /> Reason: <br /> [2] Conservation agreement form/content approved.Yes: No: <br /> Reason: _ <br /> •Conservation agreement signed/recorded. <br /> *Agricultural district identified in Land Records System. <br /> 'Agricultural district identified on Tax Map. <br /> •Agricultural district sign[s] posted. <br /> laid ,v-e e5-A,4.i4-44.1a ,4ti.(`,- <br /> n e d ��Pd�.h 2 v 1` f 4.2_ A-T:=, Vex-- <br />