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Z5 <br /> REZONE PETITION # ,.e1"73 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 /> t-to FLOOD PLAIN <br /> poSS WETLANDS A d i c A(-P d (-NS c_ body o <br /> .�(+e ✓ i 5 I o c r t?cL d c.t S�-- c��..4 cl -" <br /> t--o p o S-e d e-r c, ( . <br /> SHORELAUD - Body of Water <br /> No WELLHEAD PROTECTION AREA <br /> (-ko DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> �o • HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area (s) ; list <br /> pertinent information and questions . <br /> E G v- EJ'A frt.64-4 <br /> ( o7 y <br /> Pi 4 l? I) <br />