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L <br />04- 12 -f02 09:53 FROM- Coleman Gledhill & H 9191234567 <br />T -944 P07/08 U -160 <br />Draft Adopted by Agricultural Preservation Board 5/16/01 <br />Application <br />Voluntary Agricultural District <br />County of Orange, NC <br />A. APPLICANT INFORMATION <br />Names <br />Address: <br />Town State Z(P Code <br />Phone: (day) (eveninq) <br />E -mail: <br />B. PROPERTY INFORMATION <br />Address of Property: <br />Township: Property PIN # <br />Tax Map/Parcel # <br />Number of Acres: _ _ Deed Book/Page: <br />Does this property have a conservation plan on file with the Natural Resource Conservation Service (Soil and <br />Water District) or the N.C. Forest Service? <br />Yes No (If no, please complete section C) <br />Is this land listed for Present Use -Value taxation with the County of Orange Tax Assessor's Office? <br />Yes No _ __(If no, please complete section Q <br />