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Attach to Wisconsin Income Tax Schedule FC ZONING CERTIFICATE - FARMLAND PRESERVATION ACT - STATE OF WISCONSIN (1) Name of Owners(s) MEYER ROBERT H. (Last) (First) (Middle Initial) (2) Address 3956 STII 138, STOUGHTON, WI 53589 (3) Phone 608-873-3237 (4) Location of the land TOWN OF RUTLAND 04 03 09 05T 10R DANE Town, Village, or City Section, Township, Range Count (If part of the owner's farmland is located in another town viii y ape,or city,subsit information about that farmland on a separate fors) xzassszsmszzaxxzxza z aazzzszssssssaszasussss.sspsza EXCLUSIVE AGRICULTURAL ZONING (5) DANE COUNTY has an exclusive agricultural zoning ordinance which has been certified (County,Town,Village or City) by the State Agricultural Lands Preservation Board. On (date) 12/04/81 (6) Check below the type of ordinance jurisdistion which applies and give the date of local approval(effective date of ordinance). Town under county county exclusive agricultural zoning. Local approval date Town with seperate town ordinance. Local approval date 08/08/8$ (7) Does each structure or improvement on the land conform to the requirements of the exclusive agricultural zoning ordinance ? Yes NO X Land on which tax credit is claimed (8) Parcel No.(from tax rolls) (9) Total acres in Parcel (10) Acres in Ex. As. District (11) Are improvements in Ex. Ag. Zoning District 0510-044-9500-4 38.1000 38.1000 YES 0510-033-8500-9 40.1000 40.1000 0510-033-9000-2 38.3000 �-- 38.3000 MR___ 0510-032-8500-0 23.1000 23.1000 0510-032-9000-3 40.1000 40.1000 �_ MQ__ 0510-041-8000-4 20.0000 20.0000 0510-041-9500-7 39.8000 39.8000 MSL_ MQ___ 0510-044-8000-1 40.0000 40.0000 0510-094-8500-6 9.9000 9.9000 N_ MQ_____ 0510-094-8001-0 26.5000 26.5000 NO 0510-091-9000-2 19.8000 19.8000 EL___ 0510-091-9500-7 39.7000 39.7000 NO $5 s=re -` '- 18.5000 18.5000 X0510-091-8000-4 37.7000 Y_ 37.7000 TES TOTAL 431.6000 TOTAL 431.6000 xxxxxxxxxx sxxxzxzxxx sxx sxxxxzzxzz xazaazs zs axz.as:ssss xs zs zzz xsax zzzzzsza as ss szsszszzx axxxxzxzzx zxzxxzxzxxzzaaxxazxzxzxmzxsxxox AGRICULTURAL PRESERVATION PLAN AND SOIL AND WATER CONSERVATION STANDARDS (1 2) DANE County has adopted an agricultural preservation plan which was certified on(date) 12/4/81 by the State Agricultural Lands Preservation Board. DANE County has adopted a soil and water conservation policy which was approved by the State Land Conservation Board on(date) 4/8/86. No notice of noncompliance is in effect for lands hereby certified. x axe sea CERTIFICATION (NOTE: IF ANY OF THE ABOVE INFORMATION HAS CHANGED PLEASE SUBMIT A NEW ZONING CERTIFICATE.) The undersigned Zoning Authority hereby certifies that the zoning information contained on this form is true and correct on the most recent date shown below. The undersigned Land Conservation Committee (LCC) Authority hereby certifies the above landowner's notification of intent to submit a claim under subch. IX, ch. 71, Wis. Stets. 08/21/98 08/21/98 1988 Signature of Zoning Authority Date Signature of LCC Authority Date Program Year (The land must be in a certified agricultural zone on Dec. 31 of the year for which credit is being claimed. This certificate, along with property tax bills, must be included with the Schedule FC when a farmland preservation credit claim is filed with the Wisconsin Department of Revenue). ARM-LR-2 (Rev 9/92)