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111 <br /> f`. RE2ONEd PETITION # 6631 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 /> ,NATO-r L. A CtZE S <br /> do FLOOD PLAIN <br /> ►.)o WETLANDS <br /> `Ie s SHORELAND - Body of Water "r',,; bc,.+a -7 -4-0 12>i-t.c How-.8 s <br /> C✓, C k- -RI ac..)S -1-In✓oc D L <br /> 1_40 WELLHEAD PROTECTION AREA G,',s 1,0, •u t E c,.3 • j <br /> Irdoes ' � G13eea - +� L. <br /> Ho DANE COUNTY REGIONAL AIRPORT HEIGHT -7 5 ' s e i.-b (Ac_ 4 <br /> LIMITATION AREA s e L.-lo ti c L..- -C.h <br /> racd �.r l( b2. <br /> O HISTORIC OVERLAY DISTRICT (Indian Burial eac Y -1-° <br /> rtco .. c-iLe <br /> Mounds) <br /> COMMENT: Describe location of affected area (s ) ; list <br /> pertinent information and questions . <br /> o-r� . 3 Ems. ! �'r1 rZ, A- i t A.L c-\-E O ` <br /> / / I <br /> 1 <br /> moo. A_� <br /> y E S ID. E \ <br /> v ,:?,,/,L ! <br /> /3_2_______--- -"- <br /> 2 a r <br /> e°�"' 3 3 <br /> 5 FP ------ ----- • <br /> \ , <br /> P E R R , Y <br />