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. . Z <br /> • <br /> REZONE PETITION # 605(4,2- CONDITIONAL USE PERMIT # 13Z6, <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 /> PoSS FLOOD PLAIN <br /> 1 t C <br /> PoSS WETLANDS / b` N) . o r-v3o <br /> YES SHORELAND - Body of Water S a , c( e • s C r t { ►1 c�o s s e S <br /> Ea e o k d F c.J 1- dotes <br /> Nv WELLHEAD PROTECTION AREA e5 /w ■ ►t,; 500 e �V� oC= <br /> 1∎ OF- �a - vvC. c o �✓ �Grcl l , <br /> ti►o DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> 13o HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area (s ) ; list <br /> pertinent information and questions . <br /> _ •o <br /> D. . . <br /> yE5 Gv . �XEL - <br /> r-- <br /> r.� o FP L��Y <br /> D . <br /> 1-AA P D <br />