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/ 1 <br /> • <br /> *41 <br /> X508 <br /> REZONE PETITION # /44$0 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 /> o WETLANDS <br /> 0 SHORELAND - Body of Water <br /> o WELLHEAD PROTECTION AREA <br /> x.40 DANE COUNTY REGIONAL, AIRPORT HEIGHT <br /> LIMITATION AREA <br /> p0 HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area (s ) ; list <br /> pertinent information and questions . <br /> YE5 D . c •D . <br /> ■/ES Cc) . EXEC . ti(EHO <br /> tJ O P Co P,l <br /> D <br /> MAP D <br />