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REZONE PETITION # C0501- 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 /> �o FLOOD PLAIN <br /> WETLANDS <br /> Q0 SHORELAND - Body of Water <br /> ►-ko WELLHEAD PROTECTION AREA <br /> N0 DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> po HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area (s) ; list <br /> pertinent information and questions . <br /> .DES p r- �. <br /> _ c.a. x GG. M E f-t O <br /> I.l iZ F P C_o P Y <br /> L . D . ✓ ' C> <br /> MAP ✓ P <br />