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REZONE PETITION #-- - CONDITIONAL USE PERMIT # 1Z4 ( <br /> C.U.P. ONLY: Actionis not requested at the <br /> 9 - 17- - 95 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 /> No FLOOD PLAIN <br /> KDo WETLANDS <br /> SHORELAND - Body of Water <br /> WELLHEAD PROTECTION AREA <br /> ' , o DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> Imo HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area (s) ; list <br /> pertinent information and questions . <br /> t---A D. c . O . <br /> Lo . L ru �w o <br /> No - RP copy <br /> N�z <br />