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• <br /> • 4 • • 4 • • <br /> Attach to Wisconsin Income Tax Schedule FC <br /> ZONING CERTIFICATE - FARMLAND PRESERVATION ACT - STATE OF WISCONSIN <br /> (1) Name of Owners(s) PAVLAK RAY L. & HELEN D. <br /> (Last) (First) <br /> (2) Address 4175 PAVLAK RD. , DEERFIELD, WI 53531 <br /> (3) Phone 608-764-5777 <br /> (4) Location of the land TOWN OF DEERFIELD 15 16 07T 12R 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,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 NO X <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 /> 0712//i��r7:�-9070-6 20.0000 20.0000 <br /> 071,An 8620-2 6.0000 6.0000 <br /> 071 FT 9000-0 20.0000 20.0000 <br /> 071�FT��-8771-0 13.4800 13.4800 <br /> 07��-8000-1 32.8000 32.8000 <br /> 07 r�r:w -9500-4 20.2000 20.2000 <br /> -A I <br /> 11 VG <br /> • <br /> TOTAL 112.4800 TOTAL 112.4800 <br /> AGRICULTURAL PRESERVATION PLAN <br /> (1 1) 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 /> (1 2) 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 - 00 <br /> Title: Zoning Administrator Date - 08/04/92 <br /> • <br />