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Orange County Arts Commission Powered by Submittable <br />Legal Name of <br />Applicant Mi chael Benson <br />by Michael Benson in Orange County Arts <br />Support Fund (INDIVIDUALS ONLY) - Round 4 <br />504 Davie Road <br />Carrboro, North Carolina <br />27510 <br />NC <br />United States <br />2024310721 <br />ozonestudio3@gmail.com <br />11/12/2020 <br />id. 18201799 <br />Original application 11/12/2020 <br />Artist Name, if <br />different than legal <br />name <br />n/a <br />Email address ozonestudio3@gmail.com <br />Do you reside in <br />Orange County, <br />North Carolina? <br />Yes <br />Home address: <br />Street <br />504 Dav ie Road <br />Home address: City Carrboro <br />Home address: Zip <br />Code <br />27510 <br />Please select the <br />scenario(s) that best <br />describe your <br />situation: <br />You are a professional artist, whose source of income is through <br />your art <br />You are a freelance/contracted arts industry worker <br />How would you best <br />your profession? <br />Illustrator <br />Mixed Media Artist <br />Photographer <br />Visual Artist <br />Other than your <br />work, what sources <br />of household income <br />do you currently <br />have? <br />Construction <br />DocuSign Envelope ID: 2325C05F-7DAB-4284-A553-AB267C706451