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Az <br /> REZONE PETITION # (o57 c) CONDITIONAL USE PERMIT # <br /> • <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 /> 1504- - 0-1-AL Ac.LES <br /> FLOOD PLAIN <br /> ,,D0 WETLANDS <br /> o SHORELAND - Body of Water <br /> WELLHEAD PROTECTION AREA <br /> 0 DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> Ito HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area ( s ) ; list <br /> pertinent information and questions . <br /> / o.L, Z_ 2E - I p ceI C.Q_ Sc, /d -fro AD, ISc*_, �/.co <br /> o�� to�r.-� � <br /> _ i c.0 • P• " 1 a.i -e <br /> ca.V-, ; l r-e a d -e_ ' i.- ,«.-Q --t d l ; u L-e d. U L ti L _ <br /> ��ES Go . EXEC . M frto • QrALE4 Ep, <br /> • c c I • <br /> iJ o F p LaPY <br /> ✓ L.. o . <br />