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REZONE PETITION # 1,735 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 /> X51 . 1 I o -AL. ycczJ S <br /> v1/4 o FLOOD PLAIN <br /> �o <br /> WET LDS <br /> Nd SHORELAND - Body of Water <br /> tiro WELLHEAD PROTECTION AREA <br /> ", DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> Nn HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area ( s ) ; list <br /> pertinent information and questions . <br /> ifoolt yES D. E. D . <br /> Y � .o . EXEC . ME►-lo <br /> Y F p COPY <br /> � o <br /> IAA, ✓ D <br />