Print, fill out, and mail Questionnaire to:
Greenhorne & O'Mara, Inc.
Attn: Elizabeth Estes, Public Involvement Coordinator
5000 Ritter Road
Suite 102
Mechanicsburg, PA 17055
| Name of Farm Operator: |
| Address: |
| Phone: |
| Tax Assessor's Map and Lot Numbers: |
| Property Owner (if different than operator listed above): |
| Location of Property (if different than above address): |
| How long have you been farming the property? |
| Size of property: |
| Type of farming operation? (dairy, chicken, hogs, crops, other) |
| Is the property protected under any of the following: |
| Agricultural Easement of Deed Restriction? |
| Agricultural Security Area? |
| Agricultural Zoning District? |
| Other: |
| When is the most convenient time to contact you? |
| When is the most convenient time to meet with you? |
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