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REZONE PETITION #(,9585 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 /> oo FLOOD PLAIN <br /> _o WETLANDS <br /> Y s SHORELAND - Body of Water I ,14-c r <br /> 00 WELLHEAD PROTECTION AREA e 0 S ti r( s i -rte c� <br /> E ty Fa�� oP <br /> ,,Do DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> t-Do HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area (s) ; list <br /> pertinent information and questions . <br /> D. E. P, <br /> feC - -e Q <br /> ve5 FP (.1,7 <br />