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• <br /> ARM-LR-2 (Rev. 11/83) <br /> Attach to Wisconsin Income Tax Schedule FC <br /> ZONING CERTIFICATE — FARMLAND PRESERVATION ACT — STATE OF WISCONSIN <br /> (1) Name of Owner(s) Breuniq Ralph <br /> (Last) (First) (Middle Initial) <br /> (2) Mailing Address <br /> of Owner R#1, 6808 USH 12, Mazomanie, WI ZIP Code 53560 (3)Phone 643-6q`1.1 <br /> (4) Location of the land Roxbur Secs 27 34 35 T9N ; P. m - <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 Land Conservation Board on (date) 5/18/78 <br /> (6) Check below the type of ordinance jurisdiction which applies and give the date of local approval (effective date of ordinance). <br /> X Town under county exclusive agricultural zoning. Local approval date July 10, 1982 <br /> Town with separate town ordinance. Local approval date <br /> City or village: Check one or both below. <br /> Within corporate limits. Local approval date <br /> Extraterritorial. Local approval date <br /> (7) Does each structure or improvement on the land conform to the requirements of the exclusive agricultural zoning ordinance? <br /> Yes I XI No 1 1 <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 /> 25-27-589 20. 10 20. 10 <br /> 25-27-591 31.40 31.40 <br /> 25-27-592 8.80 8.80 <br /> 25-27-593 _ 38.60 38.60 <br /> 25-34-710 39.90 39 .90 <br /> _ 25-34-711 28.20 78.70 <br /> 25-34-712 11.80 11.80 <br /> 25-35-739 39 .90 39 .90 <br /> Total 718 70 Total 218.67 <br /> AGRICULTURAL PRESERVATION PLAN <br /> (11) Dane County has adopted an agricultural preservation plan which was certified <br /> on (date) 12/4/81 by the State Land Conservation Board. <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' Date Program Year <br /> Signature of Zoning Authority Title <br /> 2. Date Program Year <br /> Signature of Zoning Authority Title <br /> 3 Date Program Yeah <br /> Signature of Zoning Authority Title <br /> 4 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 />