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REZONE PETITION #(0473 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 /> FLOOD PLAIN <br /> <c9oct04-ed <br /> yes WETLANDS .4,2 r <br /> 0,10 t„ ,but C., <br /> 65 SHORELAND - Body of Water 4-o K.n.L4_ e 5(.1 <br /> ic_■ v- -c ,-J5 5 L.\ <br /> N p WELLHEAD PROTECTION AREA e E� ,.(< F- 1'a <br /> {JG DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> 1..40 HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area ( s ) ; list <br /> pertinent information and questions . <br /> • ---/EC co. o <br /> F. P. Copy <br /> L. D 0 <br /> M ' �, <br />