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Town of Spring ;,a.Lc•, AR :R-2(Fiev. 11/83) Attach to Wisconsin Income Tax Schedule FC ZONING CERTIFICATE - FARMLAND PRESERVATION ACT - STATE OF WISCONSIN • ..' (1) Name of Owner(s) Kippley Roger & Nancy (Last) (First) (Middle Initial) (2) Address of Owner 6146 CTH K, RFD #1, Waunakee WI ZIP Code 53697 (3)Phone 1349-4659 (4) Location of the land Town of Westport Secs 2, 19,20,30,31, 19,20,30,31 Dane Town,Village,or City Section,Township, Range County (If 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 Land Conservation Board on (date) December 7, 1979 (6) Check below the type of ordinance jurisdiction which applies and give the date of local approval (effective date of ordinance). nTown under county exclusive agricultural zoning. Local approval date December 7, 1979 FlTown with separate town ordinance. Local approval date LICity or village: Check one or both below. II Within corporate limits. Local approval date nExtraterritorial. Local approval date (7) Does each structure or improvement on the land conform to the requirements of the exclusive agricultural zoning ordinance? Yes I x I No I I Land on which tax credit is claimed: (8) Parcel No. (from tax rolls) (9) Total Acres in Parcel (10) Acres in Exclusive Ag. District 0809-023-8000-3 40.0000 40.0000 0809-023-8500-8 40.0000 40.0000 0809-023-9000-1 40.0000 40.0000 0809-023-9500-6 4 0.0000 40.0000 0809-194-8000-7 36.0000 36.0000 0809-194-9500-0 38.6100 38.6100 0809-202-8000-6 3 4.3000 34.3000 0809-202-8500-1 39.4000 39.4000 0809-301-8500-1 3 6. 8000 36.8000 0809-171-8600-8 2 8.0600 28.0600 0809-301-8100-5 11.0000 11.0000 0809-301-9580-3 1.0000 1.0000 0809-171-900 0-2 40.0000 4 0.00 00 0809-172-8001-2 3 5.0000 35.0000 0809-172-8530-2 36. 1000 36. 1000 0809-172-9001-0 36.6000 36.6000 0809-172-9500-6 40.0000 40.0000 0809-173-8000-2 30.4000 30.4000 0809-173-8501-6 28.5000 28.5000 Total (SEE REVERSE SIDE) Total (SEE ,REVERSE SIDE): AGRICULTURAL PRESERVATION PLAN (11) Dane County has adopted an agricultural preservation plan which was certified on (date) 12/4/81 by the State Land Conservation Board. 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. 1. 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 be 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.)