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REZONE PETITION # 6,4�0, 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 /> po FLOOD PLAIN <br /> po WETLANDS <br /> ( 2o55) SHORELAND - Body of Water Ea; ,, 6ra��c, 6t�� t"(ot�ccts <br /> r✓✓eck. 15 foc_c-c-ed cni EaS side <br /> k_), WELLHEAD PROTECTION AREA C-7-1-1' ' +L^ 3°C) ' o pa'"`-` j <br /> -i-t) be. recn.td S� o e is tid <br /> po DANE COUNTY REGIONAL AIRPORT {HEIGHT o Y <br /> LIMITATION AREA <br /> n)o HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area (s ) ; list <br /> pertinent information and questions . <br /> D.E .c�. <br /> `(. 5 Cc) . E.--A E c, <br /> P•2 . F . P. COPY <br /> Map ' o <br />