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Application for Orange County <br /> Farmland Preservation ProgrAgricultural District Program <br /> Voluntary and Enhanced Voluntary g <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 /> 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 Phone : 919-245-2750 <br /> APPLICANT : <br /> Name : JSQct�C �( t�t , Sh� rvn <br /> Address : <br /> City : Cadar� 6 r ovy, State : MC, _ Zip Code : ,2.? ,,Q3 / <br /> Phone Number ( Day) : q 19 �1 K8�8'! 4 I ( Evening ) : qI q qq r,?141 <br /> & Mail : IS /ccu 14( @ � ; f • coeyl <br /> PROPERTY INFORMATION : <br /> Property Location/Address ( s ) : ( 02 / �/�2/le /M ��s <br /> Agriculture District /Township : tf rb v%me <br /> Parcel Identification Number ( PIN) : $ 5 `� 6 3 y S 6 Acres 3 7 • g <br /> Parcel Identification Number ( PIN ) : Acres <br /> Parcel Identification Number ( PIN ) : Acres <br /> Parcel Identification Number ( PIN ) : _ Acres <br /> Y <br /> Parcel Identification Number ( PIN ) : Acres <br /> Parcel Identification Number ( PIN ) : Acres <br /> Total Number of Acres on all tracts of land : 37 • S <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 : K _ If " No" , please complete last page of form <br /> Is the land enrolled in Present Use Value taxation program with Orange County Tax Office? <br /> Yes : x No : If " No" , please complete last page of form <br /> Revised 1 /28/2020 <br />