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ADFP-2(Roy.2-1-79) - - Attach to Wisconsin Income Tax Schedule FC A • ZONING CERTIFICATE — FARMLAND PRESERVATION ACT — STATE OF WISCONSIN (1) Name of Owner(s) Nygaard Lloyd E. & Janet (Last) (First) (Middle Initial) (2) Address 878 Tobacco Road, Cambridge, WI 53523 (3) Phone (608) 423-3780 (4) Location of the land Christiana Sec 32, 33 & 34 T6N R12E Dane 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 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 7/17/79 (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 08-32-723 40.4 40.4 08-32-722 40.5 40.5 08-33-733 19. 5 1q c 08-33-728 20.1 20.1 08-33-731 20- 1 90 1 08-33-727 3.6 3.6 08-33-724 36.4 36.4 • 08-33-740 19.7 19.7 08-34-758. 24.1 24.1 08-34-759 17.2 17.2 1 irl i ,, f Y, 11 II/ /S Total 241.6 Total 241.6 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. 1• Date Program Year Signature of Zoning Authority Title • Signature of Zoning Authority Title Date Program Year • 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 FC when credit claim is filed with the Wisconsin Department of Revenue.)