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/¢ <br /> Cv5tl <br /> REZONE PETITION #t 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 /> I-10 FLOOD PLAIN <br /> N o WETLANDS <br /> po 5 SHORELAND - Body of Water r o ,,d is t o cc..+-e d <br /> 'Zoo+ LD <br /> Mo WELLHEAD PROTECTION AREA <br /> t-40 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 /> • lee <br /> FP COPY <br /> L . D . ✓ <br /> MAP ✓ P <br />