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(o/ t1 / 9 tTE►--t* i 13 <br /> REZONE PETITION # - CONDITIONAL USE PERMIT # 13-5 (4, <br /> --r-'.-.,i s r1 ►P 134( . -E / SELT%ot4 ►� <br /> coy,/►- E- . 4O frtAt-t i=A2r( S / AC ENT : PA'Y , C:)0 .3 <br /> C.U. P. ONLY: Actin is requested at the <br /> Cpi� y Public Hearing . <br /> Date <br /> • <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 /> A- l , atl i Q ►�k e <br /> FLOOD PLAIN <br /> WETLANDS <br /> SHORELAND - Body of Water <br /> 1.10 WELLHEAD PROTECTION AREA <br /> y E S DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> Ho HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> 30 1L.S : ( Lisa 100 2e QUAeey <br /> COMINT: Describe location of affected area (s) ; list <br /> pertinent information and questions . <br /> A- t. -Co ►=o e-t-t Ee_ •c_ E X T1z A GTE o S {u S <br /> {Ze e t a - C . Wit . P. -c-`-- ASP►-4At_r Pt_AL 1 - C0Y►=1 t E t TAL- <br /> U SE_ <o C o.^S-1--r..c_.-r-; a +•1 S e cz S o •1 Vt v.) <br /> i4o p. E. a7 . F„-c., 1ec_K . ter 'Yic, -� S L c.1 . P. t 11s7I �Ci ire of <br /> ►Z/ 94 (s c‘-c.-4-‘z <br /> 2E4• 6...(.3 cXEG= . Njc r-tc <br /> 00 eECo , Fp <br /> yi✓s L. D . ✓ + c <br /> YES A-LAP C <br />