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REZONE PETITION # CP�Y(o 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 /> FLOOD PLAIN <br /> 'i > WETLANDS <br /> , SHORELAND - Body of Water 7 +, LZ ,_d. ,'s L <br /> L; -c -e IL <br /> ),)c) WELLHEAD PROTECTION AREA <br /> No DANE COUNTY REGIONAL AIRPORT HEIC <br /> LIMITATION AREA 45c3 <br /> cc, <br /> P <br /> 06 HISTORIC OVERLAY DISTRICT (Indian . <br /> Mounds) <br /> COMMENT: Describe location of affected area (s list <br /> pertinent information and questions . <br /> //ES D. E. D . <br /> EXEC. MEk-to <br /> • <br /> y as F P LOGY <br /> 1.AAP ✓ D <br />