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4- Z <br /> REZONE PETITION # CONDITIONAL USE PERMIT # 13 Zg <br /> C.U. P. ONLY: Action is is not requested at the <br /> �{-9L 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 /> 2.4 -To 7 At... A�eES <br /> 00 FLOOD PLAIN <br /> oo WETLANDS <br /> SHORELAND - Body of Water <br /> No WELLHEAD PROTECTION AREA <br /> yE$ DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> ),Do HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area (s ) ; list <br /> pertinent information and questions . <br /> No p. F . D . <br /> am_ L o . x -'- • Ma- F-t o <br /> NO F P Lo+�Y <br />