FARMLAND PRESERVATION PROGRAM

Application for the Purchase of Development Rights


Instructions to the Applicant:

Please answer all questions as fully as possible. Complete information will improve your chances for selection and the purchase price paid to you for the property's development rights.

You may attach additional sheets if necessary to fully answer a question. Please attach
copies of all deeds, surveys, and lot certifications which describe the property.

If any item is inapplicable, please mark it "N/A".

Remember, this is an application to sell or donate development rights to The Town of Bayfield and place a conservation easement on the property.  After the sale of the development rights and approval of the conservation easement, the use and development of the property will be permanently restricted according to the terms of the easement.

Together with this application, you should have received the following information:
        1. Procedure for Sale of Development Rights
        2. Criteria for Ranking PDR Applications
        3. PDR Funding Formula
        
Please contact the Bayfield Regional Conservancy Director at (715) 779-5263 if you have any questions.

Mail the completed application to:
        Bayfield Regional Conservancy
        P.O. Box 410
        Bayfield, WI  54814

A. APPLICANT INFORMATION --OWNER(S) OF THE LAND

1. Legal Name: ___________________________________________________________

_______________________________________________________________________

2. Mailing address: ________________________________________________________

_______________________________________________________________________

_______________________________________________________________________
3. Property address, if different from mailing address: _____________________________

_______________________________________________________________________

4. Telephone: __________________5. Fax: _______________ 6. E-mail _____________

7. Social Security Number for each owner or tax identification number for business: _____

_______________________________________________________________________
 
8. Farm Name, Corporate or Business Name: ___________________________________

9. Type of legal entity:
        [ ] individual
        [ ] proprietorship
        [ ] corporation incorporated in the State of  _____________________________
        [ ] general partnership created in the State of ____________________________
        [ ] limited partnership created in the State of _____________________________
        [ ] limited liability company created in the State of _________________________

10. Contact Person at Applicant's organization (optional):      
        
        Legal Name  __________________________________________________

        Mailing address ____________________________________________________

        Telephone __________________Fax _________________E-mail ____________

11. Legal counsel representing Applicant (optional):

        Name ____________________________________________________________

        Mailing address ____________________________________________________

        Telephone ____________________________Fax _________________________

12. Are there are any material facts or circumstances (e.g., pending litigation, bankruptcy, etc.) relating to any of the parties to the proposed transaction which have not been described and may potentially affect the transaction?

        [ ]No
        [ ]Yes  If Yes, please explain: ___________________________________

______________________________________________________________________

_______________________________________________________________________

B. PROPERTY INFORMATION
 
1. What is the Bayfield County Zoning Plan Designation? _____________________

2. Please attach a legal description of the land, recent title reports, and copies of any existing survey maps of the property.
 
3. Please list all parcel property tax numbers and their respective acreage:

4. Are there are any existing easements for access, utilities, or any other purposes?
        
        [ ]No
        [ ]Yes  If Yes, please describe: ___________________________________

_______________________________________________________________________

_______________________________________________________________________

5. Please list all lien holders (mortgagees, deeds of trust, lessees, or other encumbrances). Lien holders will be required to subordinate their mortgage or deed of trust to the conservation easement: ____________________________________________________

_______________________________________________________________________

_______________________________________________________________________

C. LAND USE INFORMATION

1. Please describe the agricultural use of the land, including orchard and fruit crop, number and types of livestock, forage crops, forest products, specialty crops, etc.: ____________

______________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

2. Please breakdown property by acreage:

Orchard or perennial fruit crop _____
Tillable cropland _____
Nursery or flower crop _____
Pasture or hay crop _____
Maple Sugar Bush _____
Woodland _____
Land in dwellings and farm buildings _____
Wetlands and/or other critical areas _____
Other _____


3. Please identify soil and water conservation practices and plans in effect on the property:
  ________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

4. Please identify all residences and buildings on the property:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

 5. Is a municipal sewer service available at the property?
        [ ] Yes
        [ ] No
        If No, then please indicate the distance from the property to the nearest sewer line:
                [ ] within 1,500 feet
                [ ] 1,500 to 2,500 feet
                [ ] 2,500-4,000 feet
                [ ] greater than 4,000 feet

6.  Is the property in proximity to other protected lands.  Please describe:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________
D. OTHER SITE SELECTION INFORMATION

1. Total acres offered for easement sale:

2. Are there any properties adjacent to your land that are subject to existing conservation easements, variance or plat restrictions, or public owned open space?
        [ ] Yes
        [ ] No
        If No, then please indicate the distance from your land to another property with the    above restrictions:
                [ ] within 1,500 feet
                [ ] 1,500 to 2,500 feet
                [ ] greater than 2,500 feet

3. Are there any anticipated or pending offers to purchase the land and convert it to a non- agricultural use.
        [ ] No
        [ ] Yes.  If Yes, please describe:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

4. Please indicate which payment option you prefer:
        [ ] installment purchase
        [ ] cash payment

5. Please indicate, if at this time, you are interested in selling your development rights for less than their full value.  A 5% sale value owner-match is requested.  An owner-match contribution greater than 5% will enhance your application.  
        [ ] Yes
        [ ] No
        [ ]  maybe
 E. EXECUTION OF THE APPLICATION

It is understood that the above information is submitted in good faith, based on present expectations of the Applicant, to aid the Application Selection Committee of Bayfield Township in its consideration of this application for the sale of a conservation easement to The Town of Bayfield, Bayfield County, Wisconsin.

The information in this application and supporting documents is true and complete to the best of my/our knowledge and is submitted for the purpose of the sale of a conservation easement to The Town of Bayfield, Wisconsin.  I/We understand that this application is subject to review by the Application Selection Committee, and the Board of Supervisors for The Town of Bayfield in order to properly evaluate and process this application. I/We agree to allow program staff of the Bayfield Regional Conservancy and Application Selection Committee members enter our property with advance notice.


Dated at _________________________, on the day of_________20____.

(City_________________________________) (State________________)

Name and Signature of Landowner ______________________________________

Name and Signature of Landowner ______________________________________

Name and signature of Landowner _______________________________________

Name and signature of Landowner _______________________________________






Please note:  All landowners of record must sign the application in order for it to he considered complete.