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• <br /> ZZ <br /> REZONE PETITION # (4 Z5 5 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 /> po WETLANDS <br /> P o 5 5 i 6 LF SHORELAND - Body of Wa€er +- 1 .o, L..4 v f r e wt _ <br /> WELLHEAD PROTECTION AREA F i <br /> 0 -e a5 .e of .ey <br /> 0— ID 0 cric <br /> DANE COUNTY REGIONAL AIRPORT HEIGHT ► o a o c,c- vt e <br /> LIMITATION AREA - d I Y G y <br /> HISTORIC OVERLAY DISTRICT (Indian Burial J. <br /> Mounds) <br /> COMMENT: Describe location of affected area (s ) ; list <br /> pertinent information and questions . <br />