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1g <br /> REZONE PETITION # (P538 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 /> .�� To-rA c-. A c2ES <br /> 17o55 FLOOD PLAIN - ,o,+- �x 1--✓-e e trt o LA <_d .P <br /> 1* I-40 WETLAND S <br /> N o SHORELAND - Body of Water <br /> 1_40 WELLHEAD PROTECTION AREA <br /> 1,10 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 /> ■ ES <br /> YES Go . eIXEG• ME '-lo <br /> F P �Y <br /> , . o <br /> ✓ MAP <br />