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2Do0-Ds3 Cabarrus County Voluntary Agricultural District Application Instructions: Please complete the form as completely and accurately as possible. If map and parcel number is unknown, please list property owners name as listed on the deed and list the year the deed was recorded, to the best of your knowledge. Contact the North Carolina Cooperative Extension Office - Cabarrus County Center at 704-920-3310 if you need any assistance. Name: Jf/L~k~l- f L ~ /'Id.~ 'Tf~tft+",^~AJ Mailing Address:SJ-L/-5' la11er.rt:>N (<d. City: )( e>- ,.rtVa.~tf /:5 State: /If. C. Zip Code: 1. f?o fr ..J Phone Number (home): /01/- Cf;r 3'" J;' "3 (work): J.~ +;;..-~CR Property Address: S tI. M 'r > Number cfacres: 1- cv0 &"' d ~ ~12.AV - Map: Parcel Information (*PIN#): .,' p~}3 C) 5((YV / 5& 3j:)&1.I0 & 7 PIN # can be found on your property tax bill or on the Internet at www.cabarruscounty.us (GIS Department) Year deed recorded: Book: Page: Is this land listed for agricultural use taxation with the Cabarrus County Tax Assessor? Yes: No: Are you interested in the V original (revocable) voluntary agricultural district ordinance or the enhanced (irrevocable for a 10 year period) agricultural district ordinance? (please check one) Have you reviewed the requirements of the Cabarrus County Voluntary Agricultural District Ordinance? Yes: No: - - Do you know of any neighbors who might be interested in this program? Please List: Signed: ~J~ Date:J/~4....()t Signed: ~ j~ Date: !,.. 1.J.,t- ~ [, Direct Inquiries to: North Carolina Cooperative Extension Cabarrus County Phone: 704-920-3310 Cabarrus Soil and Water Conservation District Phone: 704-920-3300 Submit Application to: Cooperative Extension, Cabarrus County POBox 387 Concord, NC 28026 12/05 G-4-