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ADP 2 (Rev. 2 1 79) . ALSO: Montrose Attach to Wisconsin income lax Schedule /.Y' Springfield ZONING CERTIFICATE - FARMLAND PRESERVATION ACT - STATE OF WISCONSIN f .. t (1) Name of Owner(s) Ziegler _ __ Sylvester - _ (Last) (First) (Middle Initial) . 3524 W. Beltline Highway, Middleton, WI 53562 831-8626 (2) Address _-_ ------- -.- (3) Phone -._ (4) Location of the land Town of Verona Secs 16, 17 20 & 21 6-N 8-E Dane Town, Village,or City Section, Township, Range County (If part of the owner's Jarmla.aimd is located in another town, village, or city,please submit information about that farmland on a separate form.) EXCLUSIVE AGRICULTURAL ZONING (5) _ Dane County -_-_ has an exclusive agricultural zoning ordinance which has been certified (County, Town, Village or City) by the State Agricultural Lands Preservation Board. 1 (6) If,the land is located in a town,has the town.adopted the county exclusive agricultural zoning ordinance? Yes X__ No _ Date of Town Approval _ January 6,_1981 (7) Does each structure or improvement on the land conform to the requirements of the exclusive agricultural zoning ordinance? Yes - _X__._ No ----- . ... Land on which tax credit is claimed: (8) Parcel No. (from tax rolls) (9) Total Acres in parcel (10) Acres in Exclusive Ag. District 0608-163-9000-8 40.0000 40.0000 0608-201-9500-6 1.1000 1.1000 0608-201-9550-6 2 7.8000 27.8000 0608-201-8500-8 3 5.0000 35.0000 0608-201-8000-3 37.0000 37.0000 0608-1 74-9 500-0 4 0.00 00 40.0000 0608-174-9000-5 3 6.7000 36.7000 0608-213-8500-4 3 9.0000 39.0000 0608-204-9500-3 2 8.0000 28.0000 0608-213-8000-9 40.0000 40.0000 0608-212-900 0-8 3 6.60 00 36.6000 0608-214-8500-3 40.0000 40.0000 0608-212-8 500-5 2 9.8000 29.8000 0608-204-8 00 0-0 4 0.00 00 40.0000 Total 471.0 Total 471.0 -- 1 -- -- ---------- ____====-___--- --- - - __ AGRICULTURAL PRESERVATION PLAN (11) _- Dane _ County has adopted an agricultural preservation plan which was certified (date) 12/4/81 by the State Agricultural Lands Preservation Board. Is all of the owner/applicant farmland located in an agricultural preservation district under the certified county preservation plan? Yes No If NO, how many acres are in the preservation district?--_ 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. 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 Signature of Zoning Authority Title Date Program Year (The land must he 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 EC when credit claim is filed with the Wisconsin Department of Revenue.)