Orange County NC Website
' '- <br />"MOTM <br />Agricultural Advisoy Board M <br />FOL <br />FOR' CERTMCAnowAS-dij F <br />_7 'AND DESIGNATION AS AN ORANGE <br />'APR 0 9 <br />TRICT -RECEIVED- <br />VOLUNTARY AGRICULTURAL DIJS <br />INSTRUCTIONS: Before completing the application, Pkaft review the provisions of the Orange y voluntary so Cour Fumiam <br />Preservation Program Ordinance, then fill out the form as amrately and <br />completely sa possible. Be sum to <br />sign and date the forrn, and return it to the Orange County <br />Pknning.&_ pep utnunt. 306F Revere <br />Road, Hillsborough, N.C. <br />APPLICANT: <br />Name: Victor Carl Walters, Jr. Elizabeth T. Walters <br />Address: 7119 High Rock Rd. <br />City: E f l a n d State: NC ZIP Code: 27243 <br />Phone Number: (Home) 5 6 3 - 3 8 4 2 (Work) <br />PROPERTY INFORMATION: <br />Property Location/Address: off SR 1346 <br />Township:: 3 Tax Map': Block: Lot: 7 <br />Parcel Identification Number [PIN]: 9826-87-3901 <br />Number of Acres: 8 8 9 8 4 2 451:�- -501 <br />Deed Book: Page:' <br />Does this land have -'a - plan on file with the Soil Conservation Service or U.S. Forest Service? <br />Yes: x NO: If "no", please complete back of form. <br />Is this land listed for farm present use-value taxation with the Orange County Tax Office? <br />Yes: - X No-, If -"no", please complete bark of form. <br />OWNER[S] CERTIFICATION: <br />[We],- the applicant[s]; hereby certify that, to the best of my [our] ability, the foregoing <br />application is complete'and accurate.' .' <br />Signature: W Iff 2- <br />ti Daze 2- <br />Signature: Date: <br />Please direct inquiries to: ---- -- <br />Orange Soil & Water Conservation, ])W= <br />Cooperative Exu=icqi Servioe <br />Orange County Planning & Inspections Dcpartrnwt <br />WkhOrgu8b 732-83190z* trig 967-Mj*Dwb= 6g&7Wj*WAbM <br />