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z � <br /> REZONE PETITION # (9312 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 /> poss FLOOD PLAIN g A s I <br /> s c mac* �i Lei �� '� <br /> posc WETLANDS �-, "� <br /> vcS SHORELAND - Body of Water ciA2oo-r c2 EK <br /> No WELLHEAD PROTECTION AREA <br /> 130 DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> po HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area (s) ; list <br /> pertinent information and questions . <br /> Yes <br /> t D <br /> LC.IZ <br /> `/F Ga e c_ ° <br />