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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 (306 Revere Road) <br /> Hillsborough, NC 27278 Phone: 919-245-2750 <br /> APPLICANT: <br /> Name: Li x <br /> yV\6x_ C>LA_ tl\ <br /> Address'. <br /> City: v (-t Vw'-/ -State: Zip Code: <br /> Phone Number(Day):110 6-ID 6 1-6-5­9 (Evening): <br /> E-Mail: L P,VJ IZ-C A) G f-j­ 2_1 C§_4 <br /> PROPERTY INFORMATION: <br /> Property Location/Address(s): %GO V11v 6C (A, L-(3 <br /> Agriculture District/Township: <br /> Parcel Identification Number(PIN): "I O-A- 102-_�—Acres <br /> Parcel Identification Number(PIN): Acres <br /> Parcel Identification Number(PIN): Acres <br /> Parcel Identification Number(PIN): Acres <br /> Parcel Identificabon 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:.— 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 /> Revised 1/28/2020 <br />