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4k IS <br /> REZONE PETITION #' 67555 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 /> 154.13 -ro A . ASEE5 <br /> ./E5 FLOOD PLAIN <br /> ►1E TLAND S ( PO S S b ( p_ ` ex s; C') C i rte. h-f C! `^� i ' l'�. "t".. 1 c p 1 <br /> ILP l/ }�0 1 j <br /> b CSN/ d_-r C i �l f Z.A--4 c t-P ct - <br /> y r_5 SHORELAND - Body of Water A +-cam {z, t�G� s <br /> WELLHEAD PROTECTION AREA (--`e + s -e d 0 elr) <br /> r•-) S kL r= �, 'l _ L-3a <br /> ,,Do DANE COUNTY REGIONAL AIRPORT HEIGHT —�L / 11 <br /> ) <br /> L IMI TAT I ON AREA 1 , ,,�_ , d. �e � <br /> S c � 1� x14j1 <br /> Ida HISTORIC OVERLAY DISTRICT (Indian Burial 17 °- 1 ' ` �`` `` <br /> (4 . A b rrt..v 3oat <br /> Mounds) L St < . <br /> COMMENT: Describe location of affected area ( s ) ; list �` ` " `— <br /> pertinent information and questions . s � <br /> FkO L'cyIQi, <br /> Lo . -X - - • t-t -Pic <br /> '1 5 F P <br /> • <br />