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41- 13 <br /> REZONE PETITION # 694(c3 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 /> do FLOOD PLAIN <br /> Nv WETLANDS <br /> Po SHORELAND - Body of Water <br /> Po WELLHEAD PROTECTION AREA <br /> No DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> uo HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area (s) ; list <br /> pertinent information and questions . <br /> ye_S 6O - �X C_ U <br /> _ y S F. i�. COP y <br /> ✓ MAP D <br />