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ARM-I ji-3(Rev..11/83) ALSO: P1. Springs • <br /> Attach to Wisconsin Income Tax Schedule FC <br /> 'ZONING CERTIFICATE — FARMLAND PRESERVATION ACT — STATE OF WISCONSIN <br /> (1) Name of Owner(s) Russell Thomas H. & Patricia M. <br /> (Last) (First) (Middle Initial) <br /> (2) Mailing Address <br /> of Owner 1745 Rinden Road, Deerfield, WI ZIP Code 53531 (3)Phone 873-8955 <br /> (4) Location of the land Cottage Grove Secs. 15, 16, 22 7N 11E 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) 5/18/78 <br /> by the State Land Conservation Board on (date) <br /> (6) Check below the type of ordinance jurisdiction which applies and give the date of local approval (effective date of ordinance). <br /> © Town under county exclusive agricultural zoning. Local approval date_ _ 5/15/82 <br /> nTown with separate town ordinance. Local approval date <br /> ECity or village: Check one or both below. <br /> nWithin corporate limits. Local approval date <br /> nExtraterritorial. 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 © No <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 /> 09-15-365 40.0 40.0 <br /> Q9-16-405 1.0 1.0 <br /> 09-22-546 20.2 20.2 <br /> 09-22-545 4043 40.3 <br /> 09-22-541 38.1 33.1 <br /> ■ <br /> 1 <br />