Laserfiche WebLink
Attach to Wisconsin Income Tax Schedule FC <br /> ZONING CERTIFICATE — FARMLAND PRESERVATION ACT — STATE OF WISCONSIN <br /> (Donald Richard) <br /> (1) Name of Owner(s) Statz Bros. Farm <br /> (Last) (First) (Middle Initial) <br /> (2) Mailing Address <br /> of Owner 6089 CTH VV, Sun Prairie, WI ZIP Code 53590 (3)Phone 837-3393 <br /> (4) Location of the land Sun Prairie Sec. 1,2,9, 10, 11 8N 11E 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 <br /> has an exclusive agricultural zoning ordinance which has been certified <br /> (County,Town,Village or City) <br /> by the State Land Conservation Board on (date) 5/18/78 <br /> (6) Check below the type of ordinance jurisdiction which applies and give the date of local approval (effective date of ordinance). <br /> xl Town under county exclusive agricultural zoning. Local approval date 9/11/82 <br /> n Town with separate town ordinance. Local approval date <br /> ❑ City or village: Check one or both below. <br /> n Within corporate limits. Local approval date <br /> n Extraterritorial. Local approval date <br /> (7) Does each structure or improvement on the land conform to the requirements of the exclusive agricultural zoning ordinance? <br /> Yes U 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 /> 0811-013-9170-3 25.4000 25.4000 <br /> 0811-013-9670-8 25.4000 25.4000 <br /> 0811-023-9175-6 29.8000 29.8000 <br /> 0811-023-9660-8 29.0000 29.0000 <br /> 0811-024-9670-5 22.0000 22.0000 <br /> 0811-101-8000-3 35.0000 35.0000 <br /> 0811-094-8500-8 40.0000 40.0000 <br /> 0811-094-9000-1 33.3000 33.3000 <br /> 0811-111-9000-9 22.0000 22.0000 <br /> 0811-112-8000-0 26.0000 26.0000 <br /> 0811-112-8500-5 3.0000 3.0000 <br /> 0811-112-8625-5 37.0000 37.0000 <br /> TOTAL 327.9000 327.9000 <br /> AGRICULTURAL PRESERVATION PLAN <br /> (11) Dane County has adopted an agricultural preservation plan which was certified <br /> on (date) 12/4/81 by the State Land Conservation 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) April 8, 1986 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 <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. <br /> Signature of Zoning Authority Title Date Program Year, <br /> 4. <br /> — <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 /> ARM-LR-2(Rev 11/86) <br />