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Application for Grange County <br />Farmland Preservation Program <br />Voluntary and Enhanced Voluntary Agricultural District Program <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 />APPLICANT: <br />Name: <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 />so)-, <br />irP <br />Address: 9 (Ir t IL- <br />City: C_ VI A e (u State: Jy C • Zip Code: <br />Phone Number (Day): ` d - 03 (E%Rng): 9k D -.c.2 9 13 0 <br />E- Mail: 3YY1 �- <br />PROPERTY INFORMATION: <br />Property Location /Address(s): " <br />Agriculture District !Township: <br />Parcel Identification Number (PIN): %*, cres 6 <br />Parcel Identification Number (PIN): Acres <br />Parcel Identification Number (PIN): <br />Parcel Identification Number (PIN): <br />Parcel Identification Number (PIN): <br />Parcel Identification Number (PIN): <br />Total Number of Acres on all tracts of land: <br />Acres <br />Acres <br />Acres <br />Acres <br />Does this land have a plan on file with the USDA - Natural Resources Conservation Service or the NC <br />Forest Service? <br />Yes: No: If "No ", please complete back of form 0-/ <br />;,w re0 <br />0 C Mid <br />lam' <br />ITV,1.t�,x+ <br />