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I <br /> REZONE PETITION # (,,7 9 3 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 /> 29 Z -ro-rAL. Ac eES <br /> o FLOOD PLAIN <br /> tJ O WETLANDS <br /> ofso YES SHORELAND - Body of Water A �- <br /> -} <br /> fj WELLHEAD PROTECTION AREA b s )C-1 s S . o C- -,- i Pa.- _ <br /> -e I fi �-���c S ►J i Lam_r c Z <br /> a DANE COUNTY REGIONAL AIRPORT HEIGHT ''' ci d (--(-- ° <br /> LIMITATION AREA <br /> No HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area (s ) ; list <br /> pertinent information and questions . <br /> 1 <br /> -( s5 p. E. D . <br /> MEr-tc <br /> y ES F P Y — d Pr-e s e ����; „� s c_c a; <br /> llac Q. �re�ct: � l.�o a-t-e f $1 <br /> ►� L. CD . ✓ ' — fon roils . eI-e k .'ciflc,c� l,�GU-� ots <br /> kc, '-- V L�-�- ,tie� v <br /> c , r 3�f,.�. t 5 9 4 <br /> ` - <br /> L. a .-c.I <br />