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5 <br /> Orange County <br /> Agricultural Districts Advisory Board <br /> STAFF CHECKLIST FOR <br /> VOLUNTARY AGRICULTURAL DISTRICT SELECTION <br /> Date Application Received: 2-22 —9,3 <br /> APPLICANT NAME: t r15' IZ.T 4 ZSUQ�c. era t ,os6 WbGTSt.'5 V W 4 <br /> PROPERTY INFORMATION: <br /> *Property Location/Address: 1s; Rik ��p <br /> 'Township: 2- Taz v '` Z _Block: ` Lot: t4 R <br /> "Parcel Identification Number[PIN]: v " �- 166] <br /> "Number of Acres: t.(1.6 Deed Book: 2.35 Page: 81-5 <br /> CER1'1.H'ICATION CRITERIA REVIEW: <br /> "Meets acreage requirements of: <br /> [1] One farm containing at least 155 contiguous acres; OR • <br /> Yea: No: Initials: Date: 141 I <br /> - [2] Two or more contiguous farms containing at least 155 acres. <br /> Yes: No: Initials: Date: 1-k I <br /> S 1E1E. Q-MR ct1t'c7 coV`4 ■ S»c.-tto}c 4. ,( — 1t-/CL-US V3114. otr <br /> •Participating in farm present use-value taxation program. <br /> Yes: No Initials: Date: / <br /> "Certified by Soil Conservation Service as to land suitability. / <br /> Yes: No: Initials: Date: frig <br /> *Managed in accordance with SCS defined erosion control practices. <br /> Yes: No Initials: Date: <br /> • <br /> CER'I'IFICATION/DESIGNATION ACTION: <br /> Date <br /> 'Application reviewed for completeness. <br /> 'Application forwarded to Tax 1 <br /> Supervisor's Office. *A A <br /> -Soil Conservation Service. R I <br /> 'Evaluation received from <br /> -Tax Supervisor's Office. ` <br /> -Soil Conservation Service. KA <br /> *Application presented to Agricultural Advisory Board. _ 4 q3 <br /> [1] Qualifying farmland certification approval. Yea: No: <br /> . Reason: - <br /> [2] Recommendation for district designation approval. Yes:_No:_ <br /> Reason: <br /> 'Application presented to Board of Commission". <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 />