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Z:(.0 <br /> REZONE PETITION # (1,19-4- 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 /> Po FLOOD PLAIN <br /> ;,) o WETLANDS <br /> SHORELAND - Body of Water 1 <br /> v -fro 4-L <br /> WELLHEAD PROTECTION AREA s, Tz <br /> , v-e .-- . <br /> DANE COUNTY REGIONAL AIRPORT HEIGHT <br /> LIMITATION AREA <br /> HISTORIC OVERLAY DISTRICT (Indian Burial' <br /> Mounds) <br /> COMMENT: Describe location of affected area (s ) ; list <br /> pertinent information and questions . <br /> X F- 10,-) s r--opos-ed <br /> E- <br /> N.) ' P e -a Pi t ,' Ca-F o . b�; D a__ _ Co L y <br /> 4-0 CC v r e C 'A-S e F— o r L S N-( r, o iv <br /> d C-e Z o i3 b <br />