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REZONE PETITION # C/54 6 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 /> ACeES <br /> 1.,o FLOOD PLAIN <br /> 3o WETLANDS <br /> 6 -. SHORELAND - Body of Water � � l /'e� <br /> t-40 WELLHEAD PROTECTION AREA �' 4 /�� o <br /> • <br /> No DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> 00 HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area (s) ; list <br /> pertinent information and questions . <br /> VCS D.E. D . <br /> - Go . .XEG • ME �-to <br /> FP �rar�Y <br />