DCPREZ-0000-04828 - Laserfiche WebLink

Home Browse Search

j 4s c.,r. :1.701 _�_ Attach to Wisconsin Income Tax Schedule FC ZONING CERTIFICATE FARMLAND PRESERVATION ACT — STATE OF WISCONSIN Mather Alton & Bernetta (1) Name of Owner(s) (Last) (First) (Middle Initial) (2) Address 446 Wisconsin, Columbus, WI 53925 (3) Phone (414) 623-3007 Town of York Secs 9, 10 and 16 9—N 12—E Dane (4) Location of the land 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 County has an exclusive agricultural zoning ordinance which has been certified (County, Town, Village or City) by the State Agricultural Lands Preservation Board. (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 September 10, 1979 (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) Parce( No. (from tax rolls) (9) Total Acres in parcel (10) Acres in Exclusive Ag. District 35-09-170 35. in 35.10 35-09-171 40.1 40.1 35-09-172 40.1 40. 1 35-09-173 35-10 35.10 0 35-10=181 39.4 39.4 35-10-184 39.9 39.9 �0 3� _'2b 9 ��.1--/ ° 35-10-186 jU` ycl//2/77-.2i 35-10-187 v L • J �L� .3�� 35-16-289 ___ 35-16-290 39.8 39. : / a1 eI , A AIIIIMIIIIIIIIP , ail 5 ° r __);/ 9 _- Aarr ___ L. r F Total . 379.7 Total 379. 10 I AGRICULTURAL PRESERVATION PLAN (11) County has adopted an agricultural preservation plan which was certified (date) 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 • Program Year — Signature of Zoning Authority: 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 Date Program Year Signature of Zoning Authority Title 2 Date Program Year Signature of Zoning Authority Title 3 Date Program Year Signature of Zoning Authority Title 4, _ Date Program Year Signature of Zoning Authority Title . (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 PC when credit claim is filed with the Wisconsin Department of Revenue.)