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- • 4./.: // �. <br /> . 4��t.r ;a Attach to Wisconsin Income Tax Schedule FC <br /> � �:f CE FIC - V O C - TE OF WISCONSIN <br /> p _��1ti, 'acne our fT�ir it g� el`� m r�t� <br /> �,. �ners s •,,. r-._ . - •_�.: _ :1; ,.•MICHAEL ■ <br /> '4 4�1-U A? <br /> (Last) (First) (Middle In <br /> (2) \s.:°s- 2144 CTH T, MARSHALL, WI 53559 ( ) ( _ ���9086 <br /> (3) Ffiftrettf eiW-6488 <br /> 608/266-4120 <br /> (4) Location of the land TOWN OF SUN PRAIRIE 23 15 14 22 08T 111%urvoy$ E <br /> Town, Village, or City Section, Township, Range 608/266-4unty <br /> (If part of the owner's farmland is Located in another town,village,or city,submit information about that farmland j1 eparate form) <br /> 8®86 <br /> EXCLUSIVE AGRICULTURAL ZONING <br /> (5) DANE COUNTY has an exclusive agricultural zoning ordinance which has been certified <br /> (County,Town,Village or City) by the State Agricultural Lands Preservation Board. On (date) 12/04/81 <br /> (6) Check below the type of ordinance jurisdistion which applies and give the date of Local approval(effective date of ordinance). <br /> Town under county county exclusive agricultural zoning. Local approval date <br /> Town with seperate town ordinance. Local approval date 09/11/82 <br /> (7) Does each structure or improvement on the land conform to the requirements of the exclusive agricultural zoning ordinance ? <br /> Yes X NO <br /> Land on which tax credit is claimed <br /> (8) Parcel No.(from tax rolls) (9) Total acres in Parcel (10) Acres in Ex. Ag. District (11) Are improvements in Ex. <br /> Ag. Zoning District <br /> 0811-232-8540-2 1.2000 1.2000 NO <br /> 0811-154-8000-0 39.9000 39.9000 NO <br /> --- 0811-154-9500-3 39.9000 39.9000 YES <br /> 0811-143-9000-1 39.6000 39.6000 YES <br /> 0811-143-8500-8 39.7000 39.7000 NO <br /> 0811-221-8000-8 39.3000 39.3000 NO <br /> TOTAL 199.6000 TOTAL 199.6000 <br /> AGRICULTURAL PRESERVATION PLAN AND SOIL AND WATER CONSERVATION STANDARDS <br /> (1 2) DANE County has adopted an agricultural preservation plan which was certified on(date) 12/4/81 by the <br /> State Agricultural Lands Preservation Board. DANE County has adopted a soil and water conservation policy which was <br /> approved by the State Land Conservation Board on(date) 4/8/86. No notice of noncompliance is in effect for lands hereby certified. <br /> CERTIFICATION <br /> (NOTE: IF ANY OF THE ABOVE INFORMATION HAS CHANGED PLEASE SUBMIT A NEW ZONING CERTIFICATE.) <br /> The undersigned Zoning Authority hereby certifies that the zoning information contained on this form is <br /> true and correct on the most recent date shown below. The undersigned Land Conservation Committee (LCC) Authority <br /> hereby certifies the above landowner's notification of in,tent 0 ssbmit a claim under subch. IX, ch. 71, Wis. Stats. <br /> L c V <br /> 10/04/94 10/04/94 1994 <br /> Signature of Zoning Authority Date Signature of LCC Authority Date Program Year <br /> (The land must be in a certified agricultural zone on Dec. 31 of the year for which credit is being claimed. This certificate, along <br /> with property tax bills, must be included with the Schedule FC when a farmland preservation credit claim is filed <br /> with the Wisconsin Department of Revenue). iJ <br /> ARM-LR-2 (Rev 9/92) <br />