Orange County NC Website
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APPLICATION FOR ENVIRONMENTAL ASSESSMENT <br />Project Name . /is ofrac,� U,4,J C4" "4 a f �rrJ� J�7ti+ rf a n� � �n�' I, -�-� <br />Applicants rov 4 C 4 G 8F Ckr+i-f` <br />I-LC <br />Phone 2 ( �- <br />Owner LADeo(,A4 tc� L•�1ur� i © G �J <br />Address <br />Phone (F/ 5 ( 21 0 1 Z _ <br />Location of Property So Au, f oed <br />(; lOJ c ' <br />Acreage /5., 6 <br />Tax Map Reference <br />Date received <br />Township Lh:Ve.Z // <br />c� <br />PIN(s) f r7 & 2 <br />FOR DEPARTMENT USE ONLY <br />Date accepted /rejected <br />Summary Comments: <br />Reviewed by <br />49 <br />