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9 <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; 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: i��?t I d F � , '1t f` t� .Y; . I _ &)Kjo F3 <br /> J <br /> Address: t l y 4VII it"vn cj 51-1 <br /> City: "i- r ka�,_ _ State: ti\ ., Zip Code: 5k-1 <br /> Phone Number(Day):4NCI" (" I" i` (Evening): Irl" 01 cl <br /> E-Mail: z{yyie-f ro' y <br /> PROPERTY INFORMATION: <br /> Property Location/Address(s): i t i4 1 11),"O,."L.i rDli,-4I i4t�(tl,-', 'LL,5,rU(A <br /> Agriculture District/Township: ( ' <br /> Parcel Identification Number(PIN):(I 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 /> 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: i,` 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 />