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REZONE PETITION #6,54o 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 /> Po FLOOD PLAIN <br /> No WETLANDS <br /> r.ao SHORELAND - Body of Water <br /> Rio WELLHEAD PROTECTION AREA <br /> 1-to DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> posy HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area ( s) ; list <br /> pertinent information and questions . <br /> No p .Ep . <br /> Y e <br /> 5 Co X wt 0 <br /> 2 Pe Copc] <br />