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Attach to Wiscolsin Income Tax Schedule FC ZONING CERTIFICATE - FARMLAND PRESERVATION ACT - STATE OF WISCONSIN (1) Name of Owners(s) ZANDER MIKE L. & ALICE M. (Last) (First) (Middle Initial) (2) Address 8401 STAGECOACH ROAD, CROSS $LAINS, WI 53528 (3) Phone 608-798-2862 (4) Location of the land TOWN OF CROSS PLAINS 11 14 15 07T 07R 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 exclusiv agricultural zoning ordinance which has been certified (County,Town,Village or City) by the State Ag icultural Lands Preservation Board. On (date) 12/04/81 (6) Check below the type of ordinance jurisdistion whi h applies and give the date of local approval(effective date of ordinance). Town under county county exclusive agricultu al zoning. Local approval date Town with seperate town ordinance. Local a royal date 12/26/81 (7) Does each structure or improvement on the land con orm 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 irk Parcel (10) Acres in Ex. Ag. District (11) Are improvements in Ex. Ag. Zoning District 0707-112-9710-0 1.0000 1.0000 NO 0707-113-8080-4 21.7000 20.3000 NO 0707-113-8501-4 ' 35.2000 35.2000 YES 0707-113-9000-8 41.2000 41.2000 NO 0707-113-9530-7 31.1000 31.1000 NO 0707-142-8500-0 40.8000 40.8000 NO 0707-151-9500-7 40.2000 40.2000 NO TOTAL 211.2000 I TOTAL 209.8000 AGRICULTURAL PRESERVATION PL AND SOIL AND WATER CONSERVATION STANDARDS (12) DANE County has adopted an agricultural preservation plan which was certified on(date) 12/4/81 by the State Agricultural Lands Preservation Board. DANE County has adopted a soil and water conservation policy which was approved by the State Land Conservation Board on(date) 4 8/86. No notice of noncompliance is in effect for lands hereby certified. C RTIFICATION (NOTE: IF ANY OF THE ABOVE INFORMA ION HAS CHANGED PLEASE SUBMIT A NEW ZONING CERTIFICATE.) The undersigned Zoning Authority hereby certifies that the zoning information contained on this form is true and correct on the most recent date shown low. The undersigned Land Conservation Committee (LCC) Authority hereby certifies the above landowner's notifi ation of intent to submit a claim under subch. IX, ch. 71, Wis. Stets. 09/23/96 09/23/96 1995 Signature of Zoning Authority Date 1 Signature of LCC Authority Date Program Year (The land must be in a certified 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 Schedu e FC when a farmland preservation credit claim is filed with the Wisconsin Department of Revenue). ARM-LR-2 (Rev 9/92)