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5 <br /> Certification and Signatures* <br /> I certify that, to the best of my knowledge, the information contained above, and in the supporting <br /> documents, is a factual representation of the proposed development. <br /> I acknowledge that by signing this application, the Orange County Planning and Inspections <br /> Department is authorized, pursuant to NCGS 160D-403, to make as many inspections of the subject <br /> property as may be necessary to verify that the proposed work outlined herein is consistent with the <br /> provisions of all applicable State and local laws, ordinances, and regulations. <br /> By signing this-a llication, I acknowledge and agree that inspectors, zoning officers, erosion control <br /> officers, and•other staff of the Orange County Planning & Inspections Department have a right, upon <br /> presenta on of proper credentials, to access the sub'ect property at a reasonable hour for the <br /> purpos pecti or other enforcemen ion. <br /> Owner Sin ure s �! <br /> ( Applicant Signature (if d' erent from owner) <br /> 24 01/31/2024 <br /> Date i Date <br /> Section Completed by Staff <br /> Zoning: Watershed: <br /> Other overlay districts impacting property: <br /> Stream on lot?Q Yes Q No <br /> Floodplain on lot?0 Yes []No <br /> Note: If the property to be subdivided is currently under farm use value taxation, please contact the <br /> Orange County Tax Office at 919-245-2100. Subdivision of the property may require payment of <br /> deferred taxes under farm use value taxation. <br /> Page 2 of 2 <br />