DCPREZ-0000-05305 - Laserfiche WebLink

Home Browse Search

Attach to Wisconsin Income Tax Schedule FC ZONING CERTIFICATE — FARMLAND PRESERVATION ACT — STATE OF WISCONSIN (1) Name of Owner(s) McCarthy III Timothy C. (Last) (First) (Middle Initial) (2) Mailing Address of Owner 429 CTH N, Stoughton, WI ZIP Code 53589 (3)Phone 873-6809 (4) Location of the land Dunkirk Sections 28, 29 5N 11E 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). ETown under county exclusive agricultural zoning. Local approval date December 17, 1979 nTown with separate town ordinance. Local approval date I I City or village: Check one or both below. II Within 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 © No I I Land on which tax credit is claimed: (8) Parcel No. (from tax rolls) (9) Total Acres in Parcel (10) Acres in Exclusive Ag. District 0511-282-9040-1 38. 2000 38.2000 0511-283-8500 5 39.7000 39.7000 0511-283-9000 ' 39.7000 39.7000 0511-294-8000 '7 40.2000 40.2000 0511-294-9500 ' 40.3000 40.3000 Total__x•98.1000 Total 112.1.000 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. SOIL AND WATER CONSERVATION POLICY (12) Dane County Land Conservation Committee has adopted a soil and water conservation policy which was approved on (date) April 6, 1986 by the State Land Conservation Board. No notice of noncompliance is in effect for lands hereby certified. CERTIFICATION Signature of Zoning Authority Program Year Title ZONING ADMINISTRATOR Date RE-CERTIFICATION (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.) ARM-LR-2(Rev 11/86)