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AI <br /> ADFF.Z(Asv.2-1-79) <br /> Attach to Wisconsin Income Tax Schedule FC <br /> ZONING CERTIFICATE — FARMLAND PRESERVATION ACT — STATE OF WISCONSIN <br /> (1) Name of Owner(s) Swain Scott <br /> (Last) (First) (Middle Initial) <br /> (2) Address 2810 CTH W, Deerfield, WI 53531 423 46£sO <br /> (3) Phone <br /> (4) Location of the land To of Christiana Sec 6 6N 12E <br /> Town, Village, Dane <br /> age,or City Section,Township, Ringe 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 <br /> (County,Town, Village or City) has an exclusive agricultural zoning ordinance which has been certified <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 <br /> 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 /> 0512-063-9500-5 40. 1000 40. 1000 <br /> 0612-064-9160-6 1 1. 1000 11 .1000 <br /> 0612-063-9250-8 • 2000 .2000 <br /> 0612-072-8120-6 3.2000 3.2000 <br /> 0612-072-850 0-6 3. 2000 3.2000 <br />--_ 0612-0 72-9610-1 3 6. 6000 36.6000 <br /> 0612-063-9250-8 .2000 •2000 <br /> 0612-072-812 0-6 3. 2000 3.2000 <br /> 0612-0 72-8 50 0-6 3 6.6000 36. 60 00 <br /> 0612-072-9610-1 3. 2000 3.2000 <br /> ■ <br /> 1 <br /> Total 137.6 Total 137. 6 <br /> AGRICULTURAL PRESERVATION PLAN <br /> (11) _. Dane <br /> 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 /> ■ <br /> Signature of Zoning Authority: Program Year <br /> Title: ZONING ADMINISTRATOR <br /> 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 /> 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 FC when credit claim is filed with the Wisconsin Department of Revenue.) <br />