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Attach to Wisconsin Income Tax Schedule FC <br /> ZONING CERTIFICATE - FARMLAND PRESERVATION ACT - STATE OF WISCONSIN <br /> (1) Name of Owners(s) HULBERG CAROL E. GOTH <br /> (Last) (First) <br /> (2) Address 5107 DALEY RD. , DEFOREST, WI 53532 (3) Phone 608-846-3244 <br /> (4) Location of the land TOWN OF VIENNA 26 14 09T 09R DANE <br /> Town, Village, or City Section, Township, Range County <br /> (If part of the owner's farmland is located in another town,viltage,or city,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 00/00/00 <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 /> 0909-261-8000-3 39.8000 39.8000 <br /> 0909-261-8500-8 39.8000 39.8000 <br /> 0909-261-9000-1 39.8000 39.8000 <br /> 0909-261-9500-6 39.8000 39.8000 <br /> 0909-262-8000-2 10.0000 10.0000 <br /> 0909-262-9500-5 10.0000 10.0000 <br /> 0909-142-9500-0 39.2000 39.2000 <br /> 0909-143-8500-1 39.1000 39.1000 <br /> TOTAL 257.5000 TOTAL 257.5000 <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. <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) 04/8/86 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 - 0000 <br /> Title: Zoning Administrator Date - 03/26/93 <br />