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REZONE PETITION # 6,25 , 1 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 /> Zo,o <br /> 1-)0 FLOOD PLAIN <br /> too WETLANDS <br /> ,,w SHORELAND - Body of Water <br /> Na WELLHEAD PROTECTION AREA <br /> N0 DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> N o HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area (s ) ; list <br /> pertinent information and questions . <br /> . <br /> 6-O . .X EG . t 1 E ►-tG <br /> Sao F P <br /> L. o - <br /> ✓" 1A p '� D <br />