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REZONE PETITION # 6,501 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 /> is.Do WETLANDS <br /> SHORELAND - Body of Water <br /> ,,Do WELLHEAD PROTECTION AREA <br /> 1.Do DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> PC) HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area (s ) ; list <br /> pertinent information and questions . <br /> YES <br /> C_ . cx E..6. M Ef-t O <br /> Yc 5 F P copy <br /> L . D . ✓ ' <br /> MAP ✓ <br />