Orange County NC Website
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..ar_•:—s.�..�,�rr -'?��� ��w eau- -- --� � -- <br />_....... <br />AP� ICAT. ION FOR <br />1 <br />CERTIFICATION AS QUALIFYING �- <br />AND DESIGNATION ub <br />CO <br />VOLUNTARY <br />AGRICULTURAL D ISTRICT <br />w- <br />;._... r �. <br />IN = <br />e" CO�►IPB application, please review the <br />- <br />. prrnnsl°ro of Fsnnla�ld - -- ... _ . . <br />fill out the <br />.. _... ,...�.':�:;. of the 'County as scam* and V � ... <br />�� form colnpletelq possy�btety wle 'to'= - -- . <br />Pioaervstion P1v �� then <br />form arld nedl to the Oeange <br />Road, Hlllabomugh, N.C._: <br />S D 3pg R <br />APPLICANT:-------,; <br />- - <br />�r <br />... . . <br />N <br />ame: <br />7119 Hi`h <br />- - dress' Rock Rd. <br />_. - <br />•V <br />ty <br />- Efla nd <br />- <br />_.. - State:. NC ZIP . ti.•.::: _ ...: �. . <br />Code: : 27243 _...: <br />Phone Number: (Home) 563-3842 (Work) <br />- -' _�nSe """•; 7 Isla m8 irl:pe ons Dcpeltnlent.. . <br />Hil66erwd+ 732 - 81 ,:.... _ ........ _ . - . .... ........ . <br />819ampel Dill 967- MlGDwh= 6W7MISMd6 227 -2pl <br />