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9 <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 /> APPLICANT: <br /> Name: 1 , ,/ fi\,'I '10 \,, , <br /> ) <br /> Address: „ <br /> City: t H State: Zip Code: ttt <br /> ' <br /> Phone Number (Day): ('Ill ; (Evening): <br /> ( f Vl <br /> PROPERTY INFORMATION: <br /> , <br /> Property Location/Address(s): 5 ' ' / k• <br /> Agriculture District/Township: <br /> Parcel Identification Number (PIN): q / 14' / Acres <br /> Parcel Identification Number (PIN): 7-tit 1 - '1 Acres <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: - P„), <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 /> v I/711 a, fr Li/1441 iv! ( IP ale-14 ) <br /> Is the land enrolled in Present Use Value taxation program with Orange County Tax Office? <br /> Yes: 'k,./"/ No: If"No", please complete back of form <br />