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Attach to Wisconsin Income Tax Schedule FC • <br /> ZONING CERTIFICATE - FARMLAND PRESERVATION ACT - STATE OF WISCONSIN <br /> (1) Name of Owners(s) GUST DONALD G <br /> (Last) (First) <br /> (2) Address 6878 CTH M, VERONA, WI 53593 (3) Phone 608-845-3881 <br /> (4) Location of the land TOWN OF VERONA 22 27 06T 08R 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 00/00/00 <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 Exclusive Ag. District <br /> 0608-224-9000-4 40.0000 40.0000 <br /> 0608-224-9594-7 29.7100 29.7100 <br /> 0608-271-8000-9 22.0000 22.0000 <br /> TOTAL 91.7100 TOTAL 91.7100 <br /> AGRICULTURAL PRESERVATION PLAN <br /> (1 1) 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 /> (12) 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 - 0000 <br /> Title: Zoning Administrator Date - 10/04/93 <br />