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Attach to Wisconsin Income Tax Schedule FC <br /> ZONING CERTIFICATE - FARMLAND PRESERVATION ACT - STATE OF WISCONSIN <br /> (1) Name of Owners(s) DRUNASKY SYLVIA H. <br /> (Last) (First) (Middle Initial) <br /> (2) Address 5781 TOWN HALL DRIVE. SUN PRAIRIE. WI 53590 (3) Phone 608-837-5889 <br /> (4) Location of the land TOWN OF SUN PRAIRIE 16 08T 11R 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,submit information about that farmland on • separate fore) <br /> asxs asx ssa ssa ss:ssxsssssassasssssssss • <br /> EXCLUSIVE AGRICULTURAL ZONING <br /> (5) DANE COUNTY has an exclusive agricultural zoning ordinance which has been certified <br /> (County,Town,Village or City) by the State Agricultural Lands Preservation Board. On (date) 12/04/81 <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 county exclusive agricultural zoning. Local approval date <br /> Town with separate town ordinance. Local approval date 99/99/99 <br /> (7) Does each structure or improvement on the land conform to the requirements of the exclusive agricultural zoning ordinance Z <br /> Yes X NO <br /> Land on which tax credit is claimed <br /> (8) Parcel No.(from tax rolls) (9) Total acres in Parcel (10) Acres in Ex. Ag. District (11) Are improvements in Ex. <br /> Ag. Zoning District <br /> 0811-161-8020-7 39.1000 39.1000 YES <br /> 0811-161-8500-6 39.1000 39.1000 N_ <br /> 0811-161-9000-9 20.0000 20.0000 NO <br /> 0811-163-9205-0 9.6000 9.6000 1N_ <br /> TOTAL 107.8000 TOTAL 107.8000 <br /> xsasasssaxxxxxs ssssxxsxxxasss ssssass inn s ssssssasasasssasasssasssxsxssas <br /> AGRICULTURAL PRESERVATION PLAN AND SOIL AND WATER CONSERVATION STANDARDS <br /> (1 2) DANE County has adopted an agricultural preservation plan which was certified on(date) 12/4/81 by the <br /> State Agricultural Lands Preservation Board. DANE County has adopted a soil and water conservation policy which was <br /> approved by the State Land Conservation Board on(date) 4/8/86. No notice of noncompliance is in effect for lands hereby certified. <br /> mxx=x sxxxxxsss as sssssax sxxxxa sasasasxxax sssasssas sassasassassssssassasasas ass:sasasssasaxssssssassxsssass <br /> CERTIFICATION <br /> (NOTE: IF ANY OF THE ABOVE INFORMATION HAS CHANGED PLEASE SUBMIT A NEW ZONING CERTIFICATE.) <br /> The undersigned Zoning Authority hereby certifies that the zoning information contained on this form is <br /> true and correct on the most recent date shown below. The undersigned Land Conservation Committee (LCC) Authority <br /> hereby certifies the above landowners notification of intent to submit a claim under subch. IX, ch. 71, Wis. Stets. <br /> 05/04/99 05/04/99 9999 <br /> Signature of Zoning Authority Date Signature of LCC Authority Date Program Year <br /> (The land must be in a certified 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 a farmland preservation credit claim is filed <br /> with the Wisconsin Department of Revenue). <br /> ARM-LR-2 (Rev 9/92) <br />