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DANE COUNTY BOARD OF SUPERVISORS <br /> Attach to Wisconsin Income Tax Schedule FC <br /> ZONING CERTIFICATE - FARMLAND PRESERVATION ACT - STATE OF WISCONSIN <br /> (1) Name ut Cw,.wi s carguMtps Agenda(a) JUDD M. <br /> (Last) (First) (Middle Initial) <br /> (2) Adds d5tB, MT. HOREB, WI 53572 location: (3) Phone 608-000-0000 <br /> (4) Location of the land TOWN OF PRIMROSE 17 18 O5T O7R DANE <br /> Item no. Town, Villartemd ,Wronsidefedti on, Township, Range Timecounty <br /> (If part of --•- .-eparate form) <br /> == =========== ______________ _ <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 12/16/85 <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 /> 0507-173-9000-0 37.8000 37.8000 <br /> 0507-181-9500-5 38.0000 38.0000 <br /> 0507-184-8500-4 40.6000 40.6000 <br /> 0507-184-8000-9 36.6000 36.6000 <br /> 0507-184-9000-7 25.9000 25.9000 <br /> 0507-184-9500-2 29.7000 29.7000 <br /> TOTAL 208.6000 TOTAL 208.6000 <br /> ______ <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 /> == _ <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 intent to submit a claim under subch. IX, ch. 71, Wis. Stets. <br /> 01/13/94 01/13/94 1992 <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/'lillls, must be included with the Schedule FC when a farmland preservation credit claim is filed <br /> with the Wisconsin Department of Revnroved by Supervisor/Chair <br /> ARM-LR-2 (Rev 9/92) <br />