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Attach to Wisconsin Income Tax Schedule FC ZONING CERTIFICATE - FARMLAND PRESERVATION ACT - STATE OF WISCONSIN (1) Name of Owners(s) YELK DAVID & LORI (Last) (First) (Middle Initial) (2) Address 5247 OTTO KERL RD. CROSS PLAINS, WI 53528 (3) Phone 608-798-3939 (4) Location of the land TOWN OF BERRY 27, 08T 07R DANE Town, Village, or City c*_ion, Township, Range County (If part of the owner's farmland is located in another town,village,or city,,.uhmit information about that farmland on a separate form) :=ea=s=e=====__________ EXCLUSIVE AGRICULTUR2 C, 7n7qIATG (5) DANE COUNTY has an exclusive agricultural zor - , - inance which has been certified (County,Town,Village or City) by the State Agricultural Lands *inn Board. On (date) 12/04/81 (6) Check below the type of ordinance jurisdistion which applies and gi- —f local approval(effective date of ordinance). Town under county county exclusive agricultural zoning. Lora! - to Town with seperate town ordinance. Local approval d-+te 12/17' (7) Does each structure or improvement on the land conform to the requir of the exclusive agricultural zoning ordinance ? Yes X NO Land on which tax credit is claimed (8) Parcel No.(from tax rolls) (9) Total acres in Parcel (19) Ex. Ag. District (11) Are improvements in Ex. Ag. Zoning District 0807-272-9501-8 32.0000 nn-o YES 0807-272-8000-6 40.3000 NO 0807-271-9100-4 5.0000 NO 0807-271-8531-5 28.5800 - NO TOTAL 105.8800 TOTP' AGRICULTURAL PRESERVATION PLAN AND SOIL ^R CONSERVATION STANDARDS (1 2) DANE County has adopted an agricultural preservati- ' was certified on(date) 12/4/81 by the State Agricultural Lands Preservation Board. DANE County ` ' - 'oil and water conservation policy which was approved by the State Land Conservation Board on(date) 4/8/86. No notic `,nce is in effect for lands hereby certified. CERTIFICATE (NOTE: IF ANY OF THE ABOVE INFORMATION HAS CHANGED T A NEW ZONING CERTIFICATE.) The undersigned Zoning Authority hereby certifies that ' "-rmation contained on this form is true and correct on the most recent date shown below. The underri ervation Committee (LCC) Authority hereby certifies the above landowner's notification cf intent 'aim under subch. IX, ch. 71, Wis. Stats. 02/06/98 _- 02/06/98 1994 Signature of Zoning Authority Date Signature of L` Date Program Year (The land must be in a certified agricultural zone on Dec. 31 of ,-.., ye-- -'it is being claimed. This certificate, along with property tax bills, must be included with the Schedule FC wh-n, a fr,, -.ion credit claim is filed with the Wisconsin Department of Revenue). ARM-LR-2 (Rev 9/92)