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23 <br /> REZONE PETITION # Y4o8 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 /> No FLOOD PLAIN <br /> two WETLANDS <br /> pi tz-i SHORELAND - Body of Water ► , -+� �, : H « 5 w P ,�� <br /> i,Do WELLHEAD PROTECTION AREA S,f‘„,,-- ( <br /> ',Do DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> po HISTORIC OVERLAY DISTRICT (Indian Burial <br /> Mounds) <br /> COMMENT: Describe location of affected area ( s ) ; list <br /> pertinent information and questions . <br /> N o <br /> ` . S . fiEH () <br /> yFs E '> LOS l <br />