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DCPREZ-0000-04363
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DCPREZ-0000-04363
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Last modified
11/15/2016 2:33:57 PM
Creation date
11/15/2016 2:33:55 PM
Metadata
Fields
Template:
Rezone/CUP
Rezone/CUP - Type
Rezone
Petition Number
04363
Town
Vermont Township
Section Numbers
2
AccelaLink
DCPREZ-0000-04363
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• <br /> AOFP-2(Rev.2-1-79) • <br /> Attach to Wisconsin Income Tax Schedule FC <br /> I, ! : <br /> ZONING CERTIFICATE — FARMLAND PRESERVATION ACT — STATE OF WISCONSIN <br /> (1) Name of Owner(s) Skalet Philip <br /> (Last) (First) (Middle Initial) <br /> (2) Address 4665 CTH JJ, Black Earth, WI 53515 (3) Phone 767-2259 <br /> (4) Location of the land Town of Vermont Secs 2 & 3 7N 6E 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 October 12, 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 /> (SI Parcel No. (from tax rolls) (9) Total Acres in parcel (10) Acres in Exclusive Ag. District <br /> 30-02-25 36.0 .35.5 <br /> 30-03-45 40.0 40.0 <br /> 30-03-46 40.0 4,0.0 <br /> 30-03-56 35.0 35.0 <br /> 6 11tf <br /> t° 1 /IP/ <br /> /SS <br /> Total 151.0 Total 150.5 <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 /> Signature of Zoning Authority: Program Year <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- <br /> Signature of Zoning Authority Title • Date Program Year <br /> 2. — — -- — <br /> Signature of Zoning Authority Title Date Program Year <br /> 3. <br /> Signature of Zoning Authority Title Date Program Year <br /> 4. <br /> Signature of Zoning Authority Title Date Program Year <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 />
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