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ii. • <br /> REZONE PETITION # (p9-.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 /> ►Zo.6 -f'o-rAL.. Ac.aES <br /> No FLOOD PLAIN <br /> No WETLANDS <br /> SHORELAND - Body of Water <br /> „,o WELLHEAD PROTECTION AREA <br /> /00 DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> 00 HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area ( s ) ; list <br /> pertinent information and questions . <br /> yES p, E. D . <br /> .*=.--1S Go . EXEG . ME►-tc <br /> YES F P <br /> ✓ MAP ✓ ` � <br />