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REZONE PETITION # 6,50,) 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 /> 0 FLOOD PLAIN <br /> oo WETLANDS <br /> SHORELAND - Body of Water <br /> No WELLHEAD PROTECTION AREA <br /> 640 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 /> Lp. GXG.G. ME+`io <br /> y S FP C-c)P <br /> L . D • ✓ ' f <br /> MAP ✓ P <br />