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REZONE PETITION # ("54 Z. CONDITIONAL USE PERMIT # <br /> C.U. P. ONLY: Action is/is not requested at the <br /> Public Hearing. <br /> • <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 /> c)5,3 AL_e Es <br /> No FLOOD PLAIN <br /> WETLANDS - 5 d' � t <br /> S V' U -f L s S Gi..vC-C • <br /> 4,p SHORELAND - Body of Water <br /> 1-10 WELLHEAD PROTECTION AREA <br /> Nko DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area (s) ; list <br /> pertinent information and questions . <br /> yE5 p. E. D . <br /> Yom_ G0 . ME ►-•t0 <br /> s'- C7�a �t E �� d a c v�6L C._IA <br /> ��s F P �a�Y fit- Fc� d ►L.� X 99' 5 <br /> P o Y c e l � e_ r t,3�S"YL-P d <br /> i C e ✓ V� �1 C o . <br />