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REZONE PETITION # (0,3(,Z 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 /> _ FLOOD PLAIN <br /> 00 WETLANDS <br /> 00 SHORELAND - Body of Water <br /> oo WELLHEAD PROTECTION AREA <br /> ,moo DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> ',Do HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area (s) ; list <br /> pertinent information and questions . <br /> • E-5 e E <br /> •-/c5 co . O <br />