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5 <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: LG.i/r4 h 0 /1JA CV-"T V ee, <br /> Address: oco H <br /> City: Lkyj�R PA► l s State:INC. Zip Code: 215�' <br /> Phone Number(Day( 19 � —6q Z (Evening): (1/9) <br /> E-Mail: I C f a. Vee.0 OeA�L q(ih K. Ae`T` <br /> PROPERTY INFORMATION: Q <br /> Property Location/Address(s):A-316 dudkg,S' <br /> Agriculture District ownship: 6,&t r' I VjVe. otcl At <br /> Parcel Identification Number(PIN): 879�� '� 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 /> 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 Fore Service? <br /> Yes:. No: If"No", please complete last page of form <br /> Is the land en'led in Present Use Value taxation program with Orange County Tax Office? <br /> Yes: No: If"No", please complete last page of form <br />