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REZONE PETITION # G489 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 /> 1-to FLOOD PLAIN <br /> ,.-t o WETLANDS <br /> 14o SHORELAND - Body of Water <br /> �►o WELLHEAD PROTECTION AREA <br /> ,moo DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> ,_to HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area (s) ; list <br /> pertinent information and questions . <br /> `I_ ES <br /> DES c_ ME.Mo <br /> yc5 FP COPY <br /> L . D . <br /> :/ MAP ✓ C <br />