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Attach to Wisconsin Income Tax Schedule FC ZONING CERTIFICATE - FARMLAND PRESERVATION ACT - STATE OF WISCONSIN (1) Name of Owners(s) FANKHAUSER EDWARD & JANET E. (Last) (First) (Middle Initial) (2) Address R12, 87 NORTH UNION ROAD, BROOKLYN, WI 53521 (3) Phone 608-455-2492 (4) Location of the land TOWN OF RUTLAND 34 33 05T 1OR 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) --- EXCLUSIVE AGRICULTURAL ZONING (5) DANE COUNTY has an exclusive agricultural zoning ordinance which has been certified (County,Town,Village 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 town ordinance. Lec-1 approval date 06/07/78 (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 Ex. Ag. District (11) Are improvements in Ex. Ag. Zoning District 0510-343-9000-7 40.0000 40.0000 0510-343-8500-4 40.x"0 40.0000 0510-334-8500-5 40. 40.0000 0510-334-9000-8 4 40.0000 0510-334-9500-3 40.0000 0510-334-8000-0 39.9000 TOTAL 2 TOTAL 239.9000 AGRICULTURAL PRESERVATIOT '` ' .T AND SOIL AND WATER CONSERVATION STANDARDS (1 2) DANE County has adopted an aori,,,ltural preservation plan which was certified on(date) 12/4/81 by the State Agricultural Lands Preservation Board. r " County has adopted a soil and water conservation policy which was approved by the State Land Conservation Board on(;_,-, °!86. No notice of noncompliance is `.n effect for lands hereby certified. .TIFICATION (NOTE: IF ANY OF THE AP0\'E t" "10N HAS CHANGED PLEASE SUBMIT A NEW ZONING CERTIFICATE.) The undersigned Zoning Authcrit': ` certifies that the zoning information contained on this form is true and correct on the most recent date ' law. The undersigned Land Conservation Committee (LCC) Authority hereby certifies the above landr:mer', r ' --tion of intent to submit a claim under subch. IX, ch. 71, Wis. Stats. 08/19/97 0000 Signature of Zoning Authority Date Signature of LCC Authority Date Program Year (The land must be in a certified agricultur.,l zore 31 of the year for which credit is being claimed. This certificate, along with property tax bills, must he inctu-'-d with t!,- .e FC when a farmland preservation credit claim is filed with the Wisconsin Department of Reven.!e). ARM-LR-2 (Rev 9/12)