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44- 3 <br /> • • <br /> REZONE PETITION # 6,4B-z_. CONDITIONAL USE PERMIT # 130g <br /> C.U. P. ONLY: Action ' i ' 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 /> /00 FLOOD PLAIN <br /> EO o WETLANDS <br /> 3O SHORELAND - Body of Water <br /> • 1�0 WELLHEAD PROTECTION AREA <br /> ,- © DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> Ho HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area (s) ; list <br /> pertinent information and questions . <br /> D. G .Q. <br /> C.o. cXGG. MEMO <br /> yFS FP LoPY <br /> L .o • ✓ <br /> 1 � MAP ✓ D <br />