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9 . MAP <br /> Please include a map showing the location of the property . A sketch map is <br /> acceptable , but please note street and route numbers . Any outbuildings on <br /> the property should also be noted . Please include a " North " arrow . <br /> 10 . Is the property income producing? Yes No . X ; if so <br /> will .the applicant seek the Rehabilitation Tax Credit ? <br /> Yes No <br /> 11 . Has the property ever been surveyed by the State Historic Preservation Office <br /> or during a local historic building survey ? If so , when and by whom ? <br /> January 1993 - Orange County Historic Resource Inventory , Todd Peck and Jody <br /> Carter . File # ORO761 <br /> 12 . APPLICANT OR CONTACT PERSON INFORMATIOK ( If other than owner ) <br /> Name Orange County Historic Preservation Telephone 919 - 732 - 8181 , ext . 2594 <br /> ommission <br /> Address 306 - F Revere Roar! <br /> City / state Hillsborough , NC Zip Code 27231 <br /> Signature Date <br /> 13 . This application is submitted ( check one of the following ] : <br /> at the request of the owner . <br /> X with the owner ' s knowledge but not at his or her requests <br /> without the owner ' s knowledge . <br /> Return to . Linda Harris Edmisten , National Register Coordinator <br /> Survey and Planning Branch <br /> State Historic Preservation Office <br /> N . C . Division of Archives and History <br /> Mailina <br /> Address : 109 E . Jones Street <br /> Raleigh , North Carolina 27601 - 2807 <br /> Office <br /> Location : Lewis - Smith House <br /> 515 N . Blount Street <br /> Raleigh , North Carolina 27604 <br /> Telephone : 919 / 733 - 6545 <br />