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Landowner(s) Name:
Email:
Address:
Phone:
County in which property is located.
Township in which property is located:
Number of acres to be enrolled:
PA House District
PA Senate District
U.S. Congressional District
Site Name and Ownership:
Exact location of site (please be specific):
Landowner Goals for the forested property
Type of Ownership:
Site History and use in last 100+ years. Check all that apply:
Is there a threat of parcelization or conversion?:
Are any of the following resource values significantly present on the property? Check all that apply:
Is there a waterfront either on the boundary of the property or within the boundaries of the property?
Are public water and/or sewer lines located on the property?:
Is there road frontage on the property?