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• <br /> REZONE PETITION # C0513 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 /> 1�0 FLOOD PLAIN <br /> ,40 WETLANDS <br /> 0 SHORELAND - Body of Water <br /> 1_10 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 /> No D . E . <br /> DES Co , F x 1-4EMU <br /> yE Fp COPY <br /> L . D. ✓ t� <br /> N1 A 0 ✓ ' <br />