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24 <br />Application for Orange County <br />Farmland Preservation Program <br />Voluntary and Enhanced Voluntary Agricultural District Program <br />INSTRUCTIONS: <br />Before completing the application, please review the VADIEVAD 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: Ve- r noki �. A"q-L ... <br />Address: 2 � j 0 rrr ll � ,J c 1y4- C7 <br />City: _C j] �,aP ] I�' 1 State: • zip Code: _2_2 5,-) <br />Phone Number (Day): I 1 (Evening): <br />E -Mail: <br />PROPERTY INFORMATION: <br />Property Location /Address(s ): SCevw� ( ( Y) s0.vrw, cGW m uL-VX ,�D <br />Agriculture District /Township:— W nl�t 6V0 6:5 k�_ . <br />Parcel Identification Number (PIN) 15 iS5�2 5S5i Acres -513 V -0 <br />65 r2- <br />Parcel identification Number {PIN } y %i Acres o� <br />Parcel Identification Number (PIN),22 'I f ;"J/C-/ ' Acres i �/ j Tp�` -54- <br />Parcel Identification Number (PIN) : -�6 3 sexy Acres <br />Parcel Identification Number (PIN): l�73 11,2 Ll37/ Acres �► 7 �'�� �'`'``� <br />Parcel Identification Number (PI N):% 9� i 2- 1-)y Acres �► "] f,�°��z } � '� <br />Total Number of Acres on all tracts of land: 975`�DZ '714� acs- "3.19 1j,, JP' si <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 />Is the land enrolled in Present Use Value taxation program with Orange County Tax Office? <br />Yes: �X No: If "No ", please complete back of form <br />