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Attach to Wisconsin Income Tax Schedule FC ZONING CERTIFICATE - FARMLAND PRESERVATION ACT - STATE OF WISCONSIN (1) Name of Owners(a) LOSENEOQER DONALD & WINIFRED (Last) (First) (Middle Initial) (2) Address 8762 CT!! 0, MT. HOREB, WI 53572 (3) Phone 608-832-4471 (4) Location of the land TOWN OF PRIMROSE 04 08 05T 07R DANE Town, Village, or City Section, Township, Range County (If part of the owner's farmland is located in another town,village,or city,submit information about that farmland on a separate form) ssaaosassas= .. .. .. s=a==ss===es= =:sass. EXCLUSIVE AGRICULTURAL ZONING (5) DANE COUNTY has an exclusive agricultural zoning ordinance which has been certified (County,Town,Viilage 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 separate tan ordinance. Local approval date 12/16/85 (7) Does each structure or improvement on the land conform to the requirements of the exclusive agricultural zoning ordinance T Yes X NO Land on which tax credit is claimed (8) Parcel No.(from tax rolls) (9) Total acres in Parcel (10) Acres in Ex. Ag. District (11) Are improvements in Ex. Ag. Zoning District 0507-04 - 40.9000 40.9000 YES 0 -043)500-4 ) 20.2000 20.2000 NQ_ 0507-043-9000-7 3.0000 3.0000 NQ__ 0507-043-9500-2 4.2000 4.2000 NO 0507-044-8040-0 28.0000 28.0000 NO 0507-044-8500-3 40.5000 40.5000 NO 0507-081-9500-6 15.4000 15.4000 NO TOTAL 152.2000 TOTAL 152.2000 __=_»__a==s======s==sax=_======s==a===_ ==as=ss===ss s=ss==sss=s=ssssss=ssss==as=ssssa==s=s=a====s=s===s=====___=_______==c 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. _______=====s=ass MUM s ssssssss s ss:ssssssssssssssssssssasssssss =sas==s========a=s===s ==== == 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. State. 07/07/98 07/07/98 1985 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)