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• <br /> • Attach to Wisconsin Income Tax Schedule FC <br /> ZONING CERTIFICATE - FARMLAND PRESERVATION ACT - STATE OF WISCONSIN <br /> (1) Name of Owners(s) GILBERTS ROYCE D. <br /> (Last) (First) <br /> (2) Address 10888 BERGE ROAD, MOUNT HOREB, WI 53572 (3) Phone 608-523-4969 <br /> (4) Location of the land TOWN OF PERRY 31 32 05T 06R 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,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,Town,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 08/22/79 <br /> (7) Does each structure or improvement on the land conform to the requirements of the exclusive agricultural zoning ordinance ? <br /> Yes NO X <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 /> 0506-311-8500-1 9.1000 9.1000 <br /> 0506-311-9000-4 39.7000 39.7000 <br /> 0506-314-9000-1 10.0000 10.0000 <br /> 0506-314-8500-8 40.3000 40.3000 <br /> 0506-314-9500-6 21.4000 21.4000 <br /> 0506-314-9160-8 5.0000 5.0000 <br /> 0506-312-9910-2 2.4000 2.4000 <br /> 0506-314-8000-3 40.5000 40.5000 <br /> 0506-311-8000-6 40.4000 40.4000 <br /> 0506-311-9500-9 40.3000 40.3000 <br /> 0506-322-8570-4 20.0000 20.0000 <br /> TOTAL 269.1000 TOTAL 269.1000 <br /> AGRICULTURAL PRESERVATION PLAN <br /> (11) DANE County has adopted an agricultural preservation plan which was certified <br /> (date) 12/4/81 by the State Agricultural Lands Preservation Board. <br /> SOIL AND WATER CONSERVATION POLICY <br /> (1 2) DANE County Land Conservation Committee has adopted a soil and water conservation <br /> policy which was approved on (date) 04/8/86 by the State Land Conservation Board. No notice of <br /> noncompliance is in effect for lands hereby certified. <br /> CERTIFICATION <br /> Signature of Zoning Authority: Program Year - 1992 <br /> Title: Zoning Administrator Date - 07/02/93 <br />