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10 <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 (1020 US 70 West) <br /> Hillsborough, NC 27278 Phone: 919-245-2750 <br /> APPLICANT: <br /> Name: J con.(-[C.r N©Q'1 : TnA�f& lI6raI1 A CIl�,l� <br /> Address: c2 I`> t7 rd 1)11 re, <br /> City: Ct la) I I/y�,i" State: N O Zip Code: �2_7 59 <br /> Phone Number (Day): (Evening): ( W ) ;3ej0_q®3Y <br /> E-Mail: <br /> L `7 <br /> 1 L� 6 {'1 0&11 � <br /> PROPERTY INFORMATION: <br /> Property Location/Address(s): G�q U 0 [f( I m Road , [ urd to K6 (Is <br /> C�_9 � <br /> Township: ZW M <br /> Parcel Identification Number (PIN): a0 1615 Q,,Yb 3OAcres 14. 1+6 <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: <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: Z No: If"No", please complete last page of form <br />