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E5 <br /> REZONE PETITION # 6.5z1 CONDITIONAL USE PERMIT # ) I <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 /> ,J o FLOOD PLAIN <br /> i,30 WETLANDS <br /> po SHORELAND - Body of Water <br /> No WELLHEAD PROTECTION AREA <br /> 1.40 DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area (s) ; list <br /> pertinent information and questions . <br /> E.D . <br /> No Fp .Lop " <br /> MAP D <br />