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45 <br /> REZONE PETITION # 6,5 (4. 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 /> po FLOOD PLAIN <br /> I,Do WETLANDS <br /> Po SHORELAND - Body of Water <br /> No WELLHEAD PROTECTION AREA <br /> 1-40 DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> i.3o HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area (s ) ; list <br /> pertinent information and questions . <br /> �o o. �. D . <br /> y ES Lo . cX EG • t —i <br /> N2 F P LAY <br /> 1-1AP ✓ D <br />