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- <br /> Attach to Wisco in Income Tax Schedule FC <br /> ZONING CERTIFI CII Z - F.':nML7 D PRESERVATION ACT - STATE OF WISCONSIN <br /> (1) Name of Owners(s) pvnmpocnr; LEONA <br /> (First) (Middle Initial) <br /> (2) Address 1209 ROTHIr "_'3: (3) Phone 608-764-5291 <br /> (4) Location of the lan 05 06T 12R DANE <br /> Section, Township, Range County <br /> (If part of the owner's farmland is ^- rity,submit information about that farmland on a separate form) <br /> rz=== = --- ------- ======z=zzzz ================z===========------____ <br /> EXCLUSIVE CRICULTURAL ZONING <br /> (5) DANE COUNTY ^rcutturat zoning ordinance which has been certified <br /> (County,Town,Village or City) ry l't to r7 icuttural Lands Preservation Board. On (date) 12/04/81 <br /> (6) Check below the type of ord n 4 : .h ,^^ties er-i give the date of local approval(effective date of ordinance). <br /> Town under county cc -cat approval date <br /> Town with seperate "9/79 <br /> (7) Does each structure or imp, ._ a requirements of the exclusive agricultural zoning ordinance 7 <br /> Yes X NO <br /> Land on which tax credit is c' <br /> (8) Parcel No.(from tax rolls) CO) Acres in Ex. Ag. District (11) Are improvements in Ex. <br /> Ag. Zoning District <br /> 0612-051-8500-1 46.5000 N <br /> 0612-052-8000-5 47.8000 NO <br /> .^' 94.3000 <br /> =__ ========= - zzzz:= zzzz= <br /> AGRICULTURAL PP, .. _ IL AND WATER CONSERVATION STANDARDS <br /> (12) DANE County h-,, -, .c,r;•,".,n plan which was certified on(date) 12/4/81 by the <br /> State Agricultural Lands Preserva:. _ ur.:, has adopted a soil and water conservation policy which was <br /> approved by the State Land Conservation ; _ No notice of noncompliance is in effect for lands hereby certified. <br /> I CI 1'ION <br /> (NOTE: IF PP( Or T' CHAT:7D PLEASE SUBMIT A NEW ZONING CERTIFICATE.) <br /> The undersigned — he zoning information contained on this form is <br /> true and correct on the r -ned Land Conservation Committee (LCC) Authority <br /> hereby certifies the to submit a claim under subch. IX, ch. 71, Wis. Stets. <br /> 04/07/98 1997 <br /> Signature of Zoning Authority : Authority Date Program Year <br /> (The land must be in a certified ,. . . - for which credit is being claimed. This certificate, along <br /> with property tax bills, must be 'stand preservation credit claim is filed <br /> with the Wisconsin Department of <br /> ARM-LR-2 (Rev 9/92) <br />