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• <br /> REZONE PETITION # ,543 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 /> ((-27,`5 Acae_5 <br /> rJ o FLOOD PLAIN <br /> 00 WETLANDS <br /> 00 SHORELAND - Body of Water <br /> 1--1 o WELLHEAD PROTECTION AREA <br /> No DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> ,,)o HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area ( s ) ; list <br /> pertinent information and questions . <br /> YES D. E. O . <br /> yE £ 0 . ExEL t--tE r 1p <br /> 1fL EP L°f= y <br /> MQP' D <br />