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cm t, . ..:me t. ,�:.,.de FC' .- • :RTIFICATE — ' ,,.. ND PRESERVATIOt't ACT — STATE ..j .s1SCONSIN • 11; `,.-•0oi0:•r i(s) Van Sreend .-.r Frederick X. (Last) (c -) (Middle i•. �' C. a.••: . 'Al C.T,H. "w" Stoccnton, WI S't..- — (3) i. . ., i■ rir and TeY.:n of Chrssti:ar.a_--- .;e,es 2'1 C '_. _ _ Town,Village,or City Section,Tov;.. Cu. •ty r•:..• .. a-rt;:•nnlmidslocarr•d in.n.t:.r.,w•n.image,orc.: ..••„se submit.•.:. •-41ttirat.Ji,.::. v:!.- asei•ara:,J. • �— - EXCLUSIVE A.irIICUL1URAL ZONING ,j _ • '(4/1/1:: . . i - ' Dane County has an exclusive zoning(5) agricultural zoni' rdinarwhicn 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 No Date of Town Approval July 19. 1979 es ►' (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: ' (8I Parcel No.(from tax rolls) (9) Total Acres in parcel (10) Acres in f-xclusive Ag.District 08-29-637 30.5 30.5 08-30-657 9.2 9 2 - 08-30-658 29.S _27.5 08-30-659_ 40.7 40.7 - A 87.a 08-30-663 36.5 36.5 20.E 08-30-664 40.3 40.3 X • 08-30-667 18.75 18.75 08-30-668 42.1 42.1 x AI a Allr . - ,l / . L ' Total 247.55 Total 245.55 /Sg-7.1- 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 own*r/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? CERTI:12Azy Cam' 4111k Signature of Zoning Authority: Program Year - /./(13f • Title: ZONING ADMINIS -• •• Date: 3-/ -8G 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. Signature of Zoning Authority Title Date Program Year 4. Signature of Zoning Authority Title Date Program Year (The land must be M art 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.) •