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AOFP-2 (Rev.3.1-78)... <br /> • Attach to Wisconsin Income Tax Schedule FC S--(-(0 3 <br /> ZONING CERTIFICATE — FARMLAND PRESERVATION ACT — STATE OF WISCONSIN <br /> (1) Name of Owner(s) Knickmeier, Jr. Wilbert S. & Shirley A. <br /> (Last) (First) (Middle Initial) <br /> (2) Address 1481 CTH "W" , R#2, Stoughton, WI 53589 • (3) Phone 873-3867 <br /> (4) Location of the land Town of Christiana % Sec 33 6—N 12-E 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 County has an exclusive agricultural zoning ordinance which has been certified <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 zoning ordinance? <br /> Yes X No Date of Town Approval July 19, 1979 <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 Exclusive Ag. District <br /> 0612-333-9090-5 16.4000 16.4000 <br /> 0 <br /> Total 16.4 Total 16.4 <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 /> CERTIFICATION <br /> Signature of Zoning Authority: Program Year — <br /> Title:_ZONING ADMINZSTRATCR 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 /> 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 PC when credit claim is filed with the Wisconsin Department of Revenue.) <br />