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6 <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, siqn and date the form, and return to <br /> Gail M Hughes <br /> Orange County Dept. of Environment,Agriculture, Parks and Recreation <br /> Sod and Water Conservation Division <br /> P O Box 8181 (306 Revere Road) <br /> Hillsborough, NC 27278 <br /> APPLICANT: <br /> Name �1 j`,I r•. I ti�r f <br /> Address. I L <br /> City -e A a V C-71� -f-e State- 14C Zip Code- <br /> Phone Number(Day) j 19.- v ° CO (Evening) 3D <br /> E-Mail (=C Q) ar f 3 L tt k0G- C1�1'Y i <br /> PROPERTY INFORMATION: <br /> Property Location/Address(s) Lam( ` / <br /> Agriculture District!Township: _ f J(T/ 6 111?1 L t <br /> Parcel Identification Number(PIN) `%Shf Pf 10 )51 Acres ��c �'� - OVAL' <br /> Parcel Identification Number(PIN) eL07 ',395 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 / 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 '✓ No- If"No", please complete-; back of form <br />