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f ARrvkLR•2 ;Rev. 11/83) • Attach to Wisconsin Income Tax Schedule FC ZONING CERTIFICATE - FARMLAND PRESERVATION ACT - STATE OF WISCONSIN (1) Name of Owner(s) Krebs Robert 7_ (Last) (First) (Middle Initial) (2) Mailing Address of Owner 6266 CTH VV, Sun Prairie, WI ZIP Code 53590 (3)Phone 837-5009 (4) Location of the land Sun Prairie Secs 1 & 2 T8N R11E Dane Town,Village,or City Section,Township, Range County (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.) EXCLUSIVE AGRICULTURAL ZONING (5) Dane has an exclusive agricultural zoning ordinance which has been certified (County,Town,Village or City) by the State Land Conservation Board on (date) 5/18/78 (6) Check below the type of ordinance jurisdiction which applies and give the date of local approval (effective date of ordinance). © Town under county exclusive agricultural zoning. Local approval date September 11, 1982 n Town with separate town ordinance. Local approval date nCity or village: Check one or both below. HWithin corporate limits. Local approval date nExtraterritorial. Local approval date (7) Does each structure or improvement on the land conform to the requirements of the exclusive agricultural zoning ordinance? Yes 13I No n Land on which tax credit is claimed: (8) Parcel No. (from tax rolls) (9) Total Acres in Parcel (10) Acres in Exclusive Ag. District 0811-023-8500-3 39.4000 39.4000 0811•023-8000-8 39.9000 39.9000 0811-022• 9610-9 3.8000 3.8000 0811-022-9000-7 3 9. 70 00 39.7000 0811-022-8500-4 32.9000 32.9000 0811-022-8110•6 3.2000 3. 2000 0811-014-9500-2 38.2000 38.2000 0811-014-8500-4 40.2000 40.2000 0811-014-9000-7 38. 2000 38.2000 0811-014-8000-9 38. 2000 38.2000 0811-023-9000-6 8. 1000 8.1000 0811-023-9500-1 8.0000 8.0000 0811-024• 8560 •0 20.0000 20.0000 0811• 024-9060-3 33.4000 33.4000 0811-021-8200-8 10.6000 10.6000 0811• 021-9500-3 39.7000 39. 7000 Total 433.5000 Total 433.5000 AGRICULTURAL PRESERVATION PLAN (11) Dane County has adopted an agricultural preservation plan which was certified on (date) 12/4/81 by the State Land Conservation Board. CERTI FICATION Signature of Zoning Authority Program Year Title ZONTNG AT)MTNTSTRATnR Date RE-CERTI FICATION (Note:If any of the above information has changed,please submit a new zoning certificate.) The undersigned hereby certifies that the information contained on this form is true and correct on the most recent date shown.below. 1. Signature of Zoning Authority Title Date Program Year 2. Signature of Zoning Authority Title Date Program Year 3. Signature of Zoning Authority Title Date Program Year 4. Signature of Zoning Authority Title Date Program Year (The land must be in an exclusive agricultural zone on Dec. 31 of the year for which credit is being claimed. This certificate, along with property tax bills, must be included with the Schedule FC when credit claim is filed with the Wisconsin Department of Revenue.)