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AOFP 2(Ray. 2 1 79) <br /> Attach to Wisconsin Income 'lax Schedule l"(' <br /> ZONING CERTIFICATE — FARMLAND PRESERVATION ACT — STATE OF WISCONSIN <br /> (1) Name of Owner(s) _ Farris James R. <br /> (Last) (First) (Middle Initial) <br /> (2) Address _—R#1, 4925 Oak Park Road, Marshall, WI 53559 (3) Phone 655-3537 <br /> Town of Medina <br /> (4) Location of the land____ Secs 29, 32 8–N 12–E Dane <br /> Town, Village,or City Section, Township, Range County <br /> (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.) <br /> EXCLUSIVE AGRICULTURAL ZONING <br /> (5) — _ Dane County _— has an exclusive agricultural zoning ordinance which has been certified <br /> (County, Totdh, Village or City) <br /> by the State Agricultural Lands Preservation Board. <br /> (6) If the land is located in a town, has the town adopted the county exclusive agricultural zoning ordinance? <br /> Yes .._... X__. No __—._____.. Date of Town Approval -__October 1, 1980__—. <br /> (7) Does each structure or improvement on the land conform to the requirements of the exclusive agricultural zoning ordinance? • <br /> X <br /> Yes --- No <br /> Land on which tax credit is claimed: <br /> (8) Parcel No. (from tax rolls) (9) Total Acres in parcel (10) Acres in Exclusive Ag. District <br /> 18-29-646 17.5 17. 5 <br /> 18-32-700 30.05 30,05 <br /> 18-32-696 — 4n 0 -- — 40.0 <br /> Total 87.55 Total 87. 55 <br /> AGRICULTURAL PRESERVATION PLAN <br /> (11) <br /> Dane County has adopted an agricultural preservation plan which was certified <br /> - ---- ------- -– --- ---- <br /> (date) ._. 12/4/81 — _ by the State Agricultural Lands Preservation Board. Is all of the owner/applicant farmland <br /> located in an agricultural preservation district under the certified county preservation plan? <br /> Yes No No If NO, how many acres are in the preservation district? <br /> CERTIFICATION <br /> Signature of Zoning Authority: Program Year – <br /> Title: .- ZONING ADMINISTRATOR.------------------- _--- __- Date:.– <br /> RE-CERTIFICATION <br /> (Note: if any of the above information has changed,please submit a new zoning certificate.) <br /> The undersigned hereby certifies that the information contained on this form is true and correct on the most recent date shown below. <br /> 1. <br /> Signature of Zoning Authority Title • Date Program Year <br /> 2. <br /> Signature of Zoning Authority Title Date Program Year <br /> 3. Signature of Zoning Authority Title Date Program Year <br /> 4. <br /> Signature of Zoning Authority Title Date Program Year <br /> (The land must be in an exclusive 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 credit claim is filed with the Wisconsin Department of Revenue.) <br />