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ADFP 2 (Roy.2.1.79) . • Attach to Wisconsin Income Tax Schedule fC ZONING CERTIFICATE — FARMLAND PRESERVATION ACT — STATE OF WISCONSIN (1) Name of Owner(s) Coyle Maurice (Last) (First) (Middle Initial) (2) Address 7989 W. Mineral Point Road, Cross Plains, WI (3) Phone 798-2807 53528 Sec 25 7N 7E Dane (4) Location of the land Cross Plains 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.) T 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. (8) 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 December 26, 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 10-25-474 20.0— 20.0 _. 10-25-476 40.6 40.6 _ 10-25-473 39.2 39.2 • • - 10-25-475 40.6 40.6 . 10-25-474.2 17.0 17.0 • Total __ 57.4 Total 157.4 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 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. Signature of Zoning Authority Title Date Program Year 2. ----- . Signature of Zoning Authority _ — Title Date Program Year 3 — -- Date Program Year Signature of Zoning Authority Title 4 — Signature of Zoning Authority Title Date Program Year (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 FC when credit claim is filed with the Wisconsin Department of Revenue.)