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25 <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, Paries 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: <br /> Rim 4 cor <br /> i K e Ns4 <br /> Address: 79-OL-1 L)CO (U_ 9-td-r <br /> City: e.r 11�l� T State: L Zip Code: L' <br /> Phone Number(Day): 3-3k -MV-�A3 (Evening) 3U, tr 6LI - 3[),,� S <br /> E-Mail. kJ-114 h, ( ) , ', (,Lr <br /> PROPERTY INFORMATION: <br /> Property Location/Address(s): 3!tI�t{,�ui1 I-��t,rd f e �{ I(S� /�c'_ aMq <br /> Agriculture District/Township:. C 0t(e=r (11 bye Lr,►151C1y <br /> Parcel Identification Number(PIN): 9 S?8j LSE L/ ��2 Acres 3, y <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: „ (1-1 �( " - <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: xIf"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 />