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1 <br /> Apo!-a,(nw.-1•149) <br /> Attach to Wisconsin Income Tax Schedule FC <br /> ZONING CERTIFICATE — FARMLAND PRESERVATION ACT — STATE OF WISCONSIN <br /> Maurer Gerald H. and Maril n C. (Middle Initial) <br /> (1) Name of Owner(s) (Last) (First) <br /> :.-. u.. • e• 5371 (3) Phone•(2) Address '� �- Dan- <br /> Secs 11 & 12 T•∎ ••Range County <br /> (4) Location of the land Village,or City Section,Township, <br /> Town, <br /> farmland is located in another town, village,or city,please submit information about that farmland on a separate fonn.) <br /> (If part of the owner's I <br /> EXCLUSIVE AGRICULTURAL ZONING <br /> has an exclusive agricultural zoning ordinance which has been certified <br /> (b) Dane <br /> (County,Town,Village or City) : <br /> by the State Agricultural Lands Preservation Board. agricult <br /> (6) If the land is located in a town,has the town adopted the county exclusive Januv uralzo198 ordinance? <br /> Yes <br /> X I No Date of Town Approval <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: (9) Total Acres in parcel - (10) Acres in Exclusive Ag. District <br /> (8) Parcel No. (from tax rolls) M w ------- <br /> ---------'-- 3 6.7000 36.7000 <br /> 0608-111-801 0-0 4-0.0000 40.0000 <br /> 0608—i 11-9500-5 36.7000 36.7000 <br /> 0608-122-9001-6 10.0000 10.0000 <br /> 0608-122-9550-2 <br /> Total 123.4 <br /> Total — 123.4 -_---- <br /> AGRICULTURAL PRESERVATION PLAN <br /> Dane County has adopted an agricultural preservation plan which was certified <br /> (11) - <br /> (date) 12/4/81 by the State Agricultural Lands Preservation Board. Is all of the owner/applicant farmland <br /> located in an agricultural preservation district under the certified county preservation plan? <br /> No If NO,how many acres are in the preservation district? — - <br /> Yes ---- ----- <br /> PwaTIFIr TION <br /> 1 - <br /> Program Year._._. _ <br /> Signature of Zoning Authority: - , — �� pate: <br /> Title: ZONING ADMINIS`'RATOt• <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 show.• Date Program Year <br /> 1. Title <br /> Signature of Zoning Authority _ Program Year <br /> • <br /> Date <br /> 2. .. _. Title <br /> Signature of Zoning Authority Program Year <br /> • 3, Title Date <br /> Signature of Zoning Authority Program <br /> 4. <br /> Signature of Zoning Authority Title Date Year(The <br /> land must be in an exclusive agricultural zone on Dec. <br /> lc FC when credit claim is filed credit the being <br /> W claimed. <br /> Deportment ojcR certificate, aloo <br /> with property tax bills,must be included with the Scheduni <br />