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�'----- L� I S U Gr,>5 5 Pia;�•5 ADFP 2 Mow.2 1 79) Attach to Wisconsin Income lux Schedule l"(' ZONING CERTIFICATE - FARMLAND PRESERVATION ACT - STATE OF WISCONSIN (1) Name of Owner(s) Zander —__- Albert C. (Last) (First) (Middle Initial) (2) Address _ 4869 CTH P, Cross Plains, WI 53528 _-- (3) Phone 798-2425 (4) Location of the land-_____Town of Berry Sec 35 8-N 7-E Dane Town, Village,or City Section, Township, Range County (/f part of the owner's farmland is located in another town, village, or city,please submit information about that farmland on a separate form.) EXCLUSIVE AGRICULTURAL ZONING (5) — - Dane - _ has an exclusive agricultural zoning ordinance which has been certified (County, Town, Village or City) by the State Agricultural Lands Preservation Board. (6) If the land is located in a town,has the town adopted the county exclusive agricultural zoning ordinance? Yes -.X No __- .._____ Date of Town Approval __December 3L 1981_-. (7) Does each structure or improvement on the land conform to the requirements 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 (10) Acres in Exclusive Ag. District 0807-351-9000-8 4 0. 3000 40.3000 0807-352-9500-2 6.5000 6.5000 0807-353-8000-8 3 7.4000 .3 7.4000 0807-353-9500-1 1 4.0000 14.0000 0807-354-8500-2 3 2. 3000 32.3000 Total 130. 5 Total 130. 5 AGRICULTURAL PRESERVATION PLAN (11) _ _ Dane County has adopted an agricultural preservation plan which was certified (date) 12/4/R1 — by the State Agricultural Lands Preservation Board. Is all of the owner/applicant farmland located in an agricultural preservation district under the certified county preservation plan? Yes —__ No - If NO, how many acres are in the preservation district?- - CERTIFICATION Signature of Zoning Authority: _ _ _. -__ Program Year - Title: _- -.ZONING ADMINISTRATOR _ ... ___.------------..—.._--------- Date: — RE-CERTIFICATION (Note: If any of the above information has changed,please submit a new zoning certificate.) The undersigned hereby certifies that the information contained on this form is true and correct on the most recent date shown below. Signature of Zoning Authority Title Date Program Year 2. -- Signature of Zoning Authority Title Date Program Year 3. Signature of Zoning Authority Title Date Program Year 4. — - - Signature of Zoning Authority Title Date Program Year (The land must he in an exclusive 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 credit claim is filed with the Wisconsin Department of Revenue.)