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Robeit Pope <br />OWNER[$] CERTIFICATION-, <br />I [We], 1119 appticant[sj and Ian wnat4s , hereby certiN that, to no best at my <br />[our] V,-nb*led,4e, rh for aln lica n is complete and accurate. <br />Signature: Date: <br />Signature:_ <br />Signature -Date:— <br />Signatlure:___- 'Date:— <br />Signature:___ Date:— <br />Signature: <br />Signature: <br />SUPPLEMENTARY INFORMATION: <br />1. How long have you owned your tarn? --i —Pjears <br />2. How long have you lived or, your farm? G7—years i iq/ C <br />3. Has your farm exceeded $1,000 in Gross income in each of the past three years? <br />Yes Flo <br />4. How many acres on your fawn are under cultivation? =2?- -Acres (estimated) <br />5. What are the major cr cps that 'JQU plant each year? <br />6. How many acres on your farm are 1 sed for pasture? -!S VAcres (estimated' <br />For questions or more Information, please contact: <br />Gail M. Hughes <br />Orange County Department of Environment, Agriculture, Parke and Recreatior, <br />-Soil andiPlater Conservation Dvision <br />P,4 >. Box 91 BI -30,3 Revere Road <br />Hillisboroigh, NC 2727e <br />(919) 245-2753 Offica <br />is I ,dated Feb, 2013 <br />� ) 644-3351 �fa'?O up <br />13 <br />