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ADFP-2 (Rev.2-1-79) ' ' G�� <br /> Attach to Wisconsin Income Tax Schedule FC <br /> ZONING CERTIFICATE — FARMLAND PRESERVATION ACT — STATE OF WISCONSIN <br /> Richard J. & Agnes <br /> Ziegler (Middle Initial) <br /> (1) Name of Owner(s) (Last) (First) <br /> (2) Address R#l, 6164 Oncken Road, Waunakee, WI 53597 <br /> (3) Phone 831-4702 <br /> Town of Westport Secs 29 , 30 8—N 9—E Dane <br /> (4) Location of the land Section Township, Range County <br /> Town, Village,or City , <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 /> has an exclusive agricultural zoning ordinance which has been certified <br /> (5) Dane <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 December zonin g 1dinaance? <br /> Yes <br /> X 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 <br /> X No <br /> Land on which tax credit is claimed: 10 Acres in Exclusive Ag. District <br /> (9) Total Acres in parcel ( ) ____ _ - <br /> (BLParcel No_(from tax rolls) <br /> 18.0000 18.0000 <br /> 0809-293-9070-1 16. 0000 16.0000 <br /> 0809-301-9200-2 11.0000 <br /> 0809-301-9 700-7 11.0000 <br /> 14. 6000 14.6000 <br /> 0809-303-8660-6 14. 6 15.0000 <br /> 0809-303-8160-1 15.0000 <br /> 0809-304-8060-1 30.9000 30.9000 <br /> 0809-304-8500-8 39.0900 39.0900 <br /> Total 144.59 Total 144.C9 <br /> AGRICULTURAL PRESERVATION PLAN <br /> (11) Dane County has adopted an agricultural preservation plan which was certified <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 /> Yes No If NO, how many acres are in the preservation district? • <br /> m <br /> C IC' Ti <br /> .) Program Year <br /> Signature of Zoning Authority: <br /> ZONING ADMINISTR ,TOR Date:---- <br /> Title:_ ...__.._— <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 Date Program Year <br /> Signature of Zoning Authority Title • <br /> 2 Date Program Year <br /> Signature of Zoning Authority <br /> Title <br /> 3 Date Program Year <br /> Signature of Zoning Authority <br /> Title <br /> 4. — Date Program Year <br /> Signature of Zoning Authority <br /> Title <br /> with r p must be in an exclusive <br /> includedlwithlthe Schedule FC when credit claim is credit is <br /> thee Wis Wisconsin Department of Revenue. <br /> with property tax bills, must be <br />