Orange County NC Website
3 � J <br /> Contact Person Information (Property owner or CLG commission staff person ) <br /> Name <br /> Address <br /> Telephone <br /> Signature Date <br /> Note : If the site being added to the inventory has an archaeological component or is an archaeological <br /> site, additional information relating to site features , artifacts , etc . , may be recorded below . <br /> Please return the original or a copy of this form to : <br /> CLG Coordinator <br /> State Historic Preservation Office <br /> North Carolina Division of Archives and History <br /> 109 East Jones Straet <br /> Raleigh, NC 27601 -2807 <br /> Ice b : c I grevi ew: invenad <br />