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33 <br /> APPLICATION FOR CERTIFICATION <br /> AS QUALIFYING FARMLAND AND DESIGNATION AS AN ORANGE COUNTY <br /> VOLUNTARY AGRICULTURAL DISTRICT/ENHANCED VOLUNTARY AGRICULTURAL <br /> 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 _Umr�e 2�. W+1\;GL� c/o <br /> Address <br /> City State 9C, Zip Code a.' 08 <br /> Phone Number(Day) Gl9- (Evening) a l9- 50L{-C=3 77 Chn,) <br /> E-Mail. C. col�,T <br /> PROPERTY INFORMATION. <br /> Property Location/Address(s), C[Lk5 Why GCass ?d Crb� ���, I-X, <br /> Agriculture District/Township Wk At cy-05S <br /> Parcel Identification Number (PIN)-9'1LA9IiGGgg9 Acres t9..2-5 <br /> Parcel Identification Number(PIN) Acres <br /> Parcel Identification Number(PIN). Acres <br /> Parcel Identification Number(PIN) Acres <br /> Parcel Identification Number(PIN)- Acres <br /> Parcel Identification Number (PIN) Acres <br /> Total Number of Acres on all tracts of land <br /> Does this land have a plan on file with the USDA-Natural Resources Conservation Service or <br /> the NC Forest Service? <br /> Yes- X _ 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 />