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r • <br /> 'ADFP-2(R.v..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) Spahn Harold <br /> (Last) (First) (Middle Initial) <br /> (2) Address 7285 CTH K, R#6, Middleton, WT 53562 (3) Phone 836-3948 <br /> (4) Location of the land Town of Springfield Secs 28, 30, 31 8—N 8—E 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,please submit information about that farmland on a separate form.) <br /> EXCLUSIVE AGRICULTURAL ZONING <br /> (5) Dane 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 April 16, 1979 <br /> (7) Does each structure or improvement on the land conform to the requirements of the exclusive agricultural zoning ordinance? <br /> Yes X 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 /> 28-30-716 19.40, 19.40 <br /> 28-30-718 20.00 20.00 <br /> 28-31-729 40. 50 40.50 . <br /> 28-31-730 39.80 39.80 <br /> 28-31-731 39.80 39.80 <br /> 28-28-664 40.00 40.00 <br /> 28-28-661 40.00 40.00 <br /> 28-31-732 40.50 40.50 . <br /> f i f 4 <br /> LA 4 , 11V <br /> is , <br /> i <br /> Total 280.00 Total 280.00 <br />• AGRICULTURAL PRESERVATION PLAN <br /> (11) _ Dane 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 /> 1 <br /> Program Year — <br /> Signature of Zoning Authority: <br />• Title: ZONING ADMINISTRATOR 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 Date Program Year <br /> Signature of Zoning Authority Title <br /> 2. _ Date Program Year <br /> Signature of Zoning Authority Title <br /> 3 Date Program Year <br /> Signature of Zoning Authority Title <br /> 4. <br /> Date Program Year <br /> Signature of Zoning Authority Title <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 />