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4 <br /> ORANGE COUNTY LOCAL LANDMARK APPLICATION <br /> PART I DATE OF APPLICATION September 22, 2022 <br /> Please type, if possible, or print. All submitted materials become the iproperty of the Orange Count <br /> Historic Preservation Commission and cannot be returned. <br /> 1. HISTORIC NAME OF PROPERTY (if historic name is not known, use current name or address) <br /> Harvey's Chapel (present site and original site with historic cemetery) <br /> 2, LOCATION (physical location, not mailing address) <br /> A. Street or Highway Present Church: Two locations: <br /> 2507 Dimmock's Mill Rd, Efland, NC 27243 PIN 9853837051 <br /> Original Site/cemetery: No street address: PIN 9853593781 <br /> B. Township Cheeks <br /> C. Crossroads CommunityNicinity Hillsborough <br /> 3. LEGAL OWNER OF PROPERTY (please indicate Mr., Mrs., Ms., Dr., or other appropriate title) <br /> DAY-TIME cell: 919-260-6144 <br /> NAME Harvey's Chapel AME Church TELEPHONE home: 919-732-1283 <br /> FIRM and/or ADDRESS <br /> 622 McAdams Road <br /> Hillsborough <br /> NC 27278 <br /> CITY/STATE ZIP CODE <br /> E-MAIL ADDRESS hr622(c_embargmail,com> <br /> BRIEF STATEMENT OF SIGNIFICANCE <br /> On a separate piece of paper, please provide a brief statement or summary outlining the historical, <br /> architectural, cultural and/or landscape elements that make the site significant. (This statement should be <br /> expanded for question#5 of Part 2 of the application.) <br /> See Attached Landmark Designation Report <br /> *Please submit current photographs of the property including all elevations of the main house and any <br /> other important buildings. Please also include general photographs of the property and include any <br /> important landscape features. (If you wish to use digital photography, please submit hard copy printouts.) <br /> **Please also submit a sketch plan of the property showing the footprint of all key buildings and the <br /> location of all driveways or farm roads. <br /> I <br />