Orange County NC Website
K _ <br />,..ice.....; <br />x <br />- - - <br />- - - - �Aran e .� <br />_. ,,...: _Count _.. <br />•A _ <br />cu tural Dist <br />sory Board <br />r: = <br />T... <br />APPLICANI <br />.. . _.._. ON FOR CERTIFI - - - - - - <br />_.:. <br />AL1F'YIN <br />AND DESIGNATION AS AN ORANGE , . G „F���' <br />COUNTY <br />VOLUNTARY AGRICULTURAL DISTRICT RECEIVED APR 0 9 1( <br />INSMUC77ONS: Before completing the application, please review the provisions of the Orange County Voluntary Farmland <br />Preservation Program Ordinance, then fill out the form as accurately and completely as possible. Be sure to . <br />-sigri and data the form and <br />the orange County P <br />- .Road, Iiilu►borongh, N.C. 8 ld"m"g ?� Inspections Departure <br />return it to <br />nt, 3176F Revere <br />APPLICANT: <br />Name: Victor Carl Walters Jr & Elizabeth T. Walters <br />Address: 1 1 9 H z h Rock Rd . <br />City: E f l a n d State: NC ZIP Code: 2 7 2 4 3 <br />Phone Number: (Home) 563-3842 (Work) <br />PROPERTY INFORMATION: <br />Property Location/Address: N / 0 1340 <br />Township: 2 Tax Map: 4 2 Block: Lot: 1 1 <br />Parcel Identification Number [PIN]: 9 8 3 6- 1 9 = 5 8 9 8 <br />Number of Acres: <br />84. 19 Deed Book: 2 2 0 Page: 19 5 <br />Does this land have a plan on file with the Soil Conservation Service or U.S. Forest Service? <br />Yes: x No: If "no ", please complete back of form. <br />Is this land listed for farm present use -value taxation with the Orange County Tax Office? <br />Yes: x Na: If-"110% Please complete back of form. <br />OWNER[S] CERTIFICATION: <br />L [We]; the applicant[s]," hereby certify that, to the best of my [our] ability, the foregoing <br />application is complete and accurate. ._ <br />Signature: ! Date - - / f <br />Signature: Date: A j9 <br />Please direct inquiries to: <br />Orange Soil & Water Conservation District <br />Cooperative Extension Service <br />orange County Planning & Inspections Department <br />"Olb"MO 7317r8181a0"d Mat 961- MIOD -b♦m US- McMeb®e 2z7-2MI <br />