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Attach to Wisconsin Income Tax Schedule FC <br /> ZONING CERTIFICATE - FARMLAND PRESERVATION ACT - STATE OF WI <br /> (1) Name of Owners(s) WISCONSIN <br /> ( ) BRERREN <br /> (Last) DAVID L. & PATRICIA J <br /> (2) Address 02 CTfi X EDGERTON WI 5 5 4 (First) (Middle Initial) <br /> • <br /> (4) Location of the land TOWN OF ALBION (3) Phone 608-884-6895 <br /> Town, Village, 29 32 3 05T 12R <br /> (If part of the owner's farmland is located in another cur City <br /> cit Section, Township, CANE <br /> part _-th P. Range <br /> ________________papa_-------------------- _---- -Y, ubmit information about County <br /> ---- ------ _ a t that farmland on a separate <br /> ------------=------------ _ <br /> EXCLUSIVE AGRICULTURAL rate form) <br /> - --------------------- <br /> ------------------------------------ <br /> ----------------- <br /> RAL ZONING --- --------- <br /> (5) DANE COUNTY <br /> has an exclusive agricultural zoning ordinance which has been certified <br /> (C°unty,Tow^,Village or City) <br /> (6) Check below the t by the State Agricultural Lands Preservation Board. On (date) 12 04 81 <br /> type of ordinance jurisdiction which applies and give the date of local approval(effec�ate of ordinance). <br /> Town under county county exclusive agricultural zoning. Local approval date <br /> Town with seperate town ordinance. Local approval date 06�2/12 <br /> (7) Does each structure or improvement on the land conform to the requirements of the exclusive agricultural zoning ordinance ? <br /> Land on which tax credit is claimed <br /> (8) Parcel No.(from tax rolls) (9) Total acres in Parcel (10) Acres in Ex. Ag. District (11) Are <br /> 0512-294-8190-6 improvements in Ex. <br /> 0512-294-9000-3 20.0000 20.0000 Ag. Zoning District <br /> 0512-294-9500-8 36.8000 36.8000 NO <br /> 0512-294-8690-1 40.0000 40.0000 YES <br /> 0512-321-8000-1 20.0000 20.0000 NO <br /> 0512-321-8500-6 40.4000 40.4000 NO <br /> 0512-332-8500 35.9000 35.9000 NO 40.9000 40.9000 NO <br /> NO <br /> TOTAL 234.0000 TOTAL 234.0000 <br /> AGRICULTURAL PRESERVATION PLAN AND SOIL AND WATER .CONS <br /> ERVATION STANDARDS <br /> 12) DANE County has adopted an agricultural preservation plan which was certified on(date) 12 <br /> ate Agricultural Lands Preservation Board. <br /> proved by the State Land Conservation Board on(date)__4/g- /86 No°noticeaofanonc� a soil and water conservation/81 by the policy he which was <br /> anPliance is in effect for lands hereby certified. <br /> (NOTE: IF ANY OF THE ABOVE INFORMATION HAS CHANGED PLEASE SUBMIT A NEW ZONING CERTIFI C <br /> The undersigned Zoning Authority hereby certifies that the zoning information contained on this) <br /> form is <br /> true and correct on the most recent date shown below. The undersigned Land Conservation Committee (LCC) Authority <br /> hereby certifies the above landowner's notification of intent to submit a claim under subch. IX, ch. 71, Wis. Stats. <br />)nature of Zoning Authority Date 11/24/97 <br /> 1/2 <br /> Signature of LCC Authority 14/97 ram <br /> land must be in a certified agricultural zone on Dec. 31 of the year for which credit is being Date <br /> This certificate <br /> 1 property tax bills, must be included with the Schedule FC when a farmland preservation credit claim is filed Program Year <br /> the Wisconsin Department of Revenue). along <br />.M-LR-2 (Rev 9/92) <br />