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27 <br /> APPLICATION FOR CERTIFICATION <br /> AS QUALIFYING FARMLAND AND DESIGNATION AS AN ORANGE COUNTY <br /> VOLUNTARY AGRICULTURAL DISTRICT <br /> OR <br /> ENHANCED VOLUNTARY AGRICULTURAL DISTRICT <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 /> 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 ALSO :01WS.& AV_t�l2 Y1Vliel�'�r1�„r���:� <br /> Address ai,` <br /> City ��r���. 1.�� State. Zip Code � �\ <br /> Phone Number(Day) (�jy-') (Evening) 661 -b- i - 21 Fn <br /> E-Mail c ?'_i <br /> L <br /> PROPERTY INFORMATION: <br /> Property Location/Address(s) a+vw- c,s e1LGrA1C_ <br /> Agriculture District/Township. Lpt 1,4,wal All <br /> Parcel Identification Number(PIN) Acres \C\ 9�- 1 1 2 <br /> Parcel Identification Number(PIN) gL504 1 Acres Wit-, U <br /> Parcel Identification Number(PIN) q,6L134Q75_7. Acres U 1 2 -�- /sr,ew <br /> Parcel Identification Number (PIN) Ift 66lY26 Acres 2 <br /> Parcel Identification Number(PIN) 9r5P)�'Zri-EQ Acres 3 -7- - Z <br /> Parcel Identification Number(PIN) Acres <br /> Total Number of Acres on all tracts of land C74. f <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 V No If"No", please complete back of form <br />