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REZONE PETITION #(,418 CONDITIONAL USE PERMIT # <br /> C.U. P. ONLY: Action is/is not requested at the <br /> Public Hearing . <br /> Date <br /> Place an "X" in the box if all or part of the <br /> proposed Rezone/C.U . P . area is affected by any of <br /> the districts below: <br /> a o FLOOD PLAIN <br /> Dc;. WETLANDS <br /> - r_5 SHORELAND - Body of Water I y Cv-e c P ►-s <br /> ti.►o WELLHEAD PROTECTION AREA I e 't" '3 oo ' { <br /> b e y a . d t---/s"/ Lor�c p✓ <br /> 1.40 DANE COUNTY REGIONAL AIRPORT HEIGHT F - i <br /> LIMITATION AREA P°` 4 I <br /> po HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area ( s ) ; list <br /> pertinent information and questions . <br /> - DE.D. <br /> No A -I Ex <br /> C-c) . EXEC_ ME1-46 <br /> P. CoPY <br />