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TT zz. <br /> REZONE PETITION # LA /a 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 /> L-a 4`6 <br /> ,..°'4"± L I L5 66„, <br /> o FLOOD PLAIN U • 6-t171-17, - o <br /> f% <br /> A <br /> op WETLANDS SFE <br /> ►moo SHORELAND - Body of Water <br /> ti0 WELLHEAD PROTECTION AREA <br /> 140 DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> K30 HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area ( s ) ; list <br /> pertinent information and questions . <br /> L5 D. . o <br /> e-5 _ C0 . cXEG . hoc rlG <br /> to ck F. p Cc4.— <br /> • <br /> AP ✓ [� <br />