Public Act 490 Guide - CT.gov
Public Act 490 Guide - CT.gov
Public Act 490 Guide - CT.gov
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State of Connecticut<br />
Department of Environmental Protection<br />
DIVISION OF FORESTRY<br />
Form DEP-F-<strong>490</strong>: ANNUAL REPORT TO STATE FORESTER<br />
PA<br />
<strong>490</strong><br />
APPENDIX B: APPLICATIONS FOR PA <strong>490</strong> AND DEP ANNUAL REPORT<br />
M UNICIPALITY:<br />
M AILING ADDRESS:<br />
CITY, STATE & ZIP:<br />
_____________________________________________________<br />
_____________________________________________________<br />
_____________________________________________________<br />
TOTAL ACREAGE OF FARM L AND CL ASSI FI ED AS PA-<strong>490</strong>: _____________ACRES<br />
TOTAL ACREAGE OF FOREST L AND CL ASSI FI ED AS PA-<strong>490</strong>: _____________ACRES<br />
TOTAL ACREAGE OF OPEN SPACE L AND CL ASSI FI ED AS PA-<strong>490</strong>: _____________ACRES<br />
_____________________________ _________ _____________<br />
Assessor Signatur e CCMA # Date:<br />
Please Return to: dep.forestry@ct.<strong>gov</strong> or Connecticut Department of Environmental Protection/Division of Forestry/79 Elm Street/Hartford, <strong>CT</strong><br />
06106 Phone: (860) 424-3630/Fax: (860) 424-4070/<br />
(This report is due annually by June 30)<br />
Form DEP-F-<strong>490</strong> REVISED May 1, 2010<br />
THIS COVER SHEET I S PAGE 1 OF _______ PAGES.<br />
46<br />
<strong>Public</strong> <strong>Act</strong> <strong>490</strong>: A Practical <strong>Guide</strong> and Overview • http://www.cfba.org/pa<strong>490</strong>guide.htm • Connecticut Farm Bureau Association