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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 (306 Revere Road) <br /> Hillsborough, NC 27278 Phone: 919-245-2750 <br /> APPLICANT: <br /> /I <br /> Name: 1 hoi�lip C!tH.ct �.i nt5tc.i �� � <br /> Address: b, <br /> City: State: C Zip Code: 0,7.2.71? <br /> l <br /> Phone Number (Day): b tr- 2 4 --3.29�, (Evening): C1 1c1] ,$r�j - t�q(1 S <br /> E-Mail: Cr CC . dlYtiCu I Fort, <br /> PROPERTY INFORMATION: <br /> Property Location/Address(s): 9�;fi Lib <br /> Agriculture District/Township: E NQ 05 <br /> Parcel Identification Number (PIN): �W&YC}O'J M 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: P 3. 7 11 <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 />