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. . s 4 Z <br /> REZONE PETITION # 6349 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 /> 00 FLOOD PLAIN <br /> r'o WETLANDS <br /> roc, SHORELAND - Body of Water <br /> pow , WELLHEAD PROTECTION AREA <br /> po 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 /> • <br /> -lES DE0 <br /> yE 5 Co EXe-C- H.EM <br /> FP COP <br />