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2 Av <br /> Application for Orange County <br /> Farmland Preservation Program <br /> Voluntary and Enhanced Voluntary Agricultural District Program <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: `5 wn L J a -ems' ' r�� ��v►es rC►�5 <br /> Address: e11 Q O(p s+V-12. <br /> City: State: 6, Zip Code: 27 611 1 <br /> Phone Number (Day): (Evening): �/9- 51� — ��`J`1'�1 (CCU) <br /> r <br /> E-Mail: e d k GL 14@aket- c 67-n <br /> PROPERTY INFORMATION: <br /> Property Location/Address(s): 4!e yy-tz f <br /> Agriculture District/Township: k_lmduux f C Qh, �'��rr� <br /> h-� Let`�t,c%Gti <br /> Parcel Identification Number (PIN):c/,6"79 OG l7ko(i( Acres 2-5, S-4&!Shs <br /> Parcel Identification Number (PIN): gCOQ� Imo{ (o Acres 2( •62- �ka� <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: 5 `2 <br /> Does this land have a plan on file with the USDA-Natural Resources Conservation Service or <br /> the NC Forest Service? <br /> Yes:. V No: 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:�� No: If"No", please complete last page of form <br />