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REZONE. PETITION # C,521- 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 /> Tv rt, A c iz E S <br /> 00 FLOOD PLAIN <br /> 00 WETLANDS <br /> 00 SHORELAND - Body of Water <br /> i_Ad WELLHEAD PROTECTION AREA <br /> ,-s o DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> oo HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area ( s ) ; list <br /> pertinent information and questions . <br /> y/ Go ►'to <br /> �E5 _ F P Lo4 'Y <br /> D <br /> ✓ MQP D <br />