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STATE OF WISCONSIN I <br /> SS BEFORE THE DANE COUNTY BOARD OF ADJUSTMENT <br /> COUNTY OF DANE ) <br /> (Pr APPEAL <br /> The undersigned hereby represents that on the �' '' day of ✓mow c N,r — 7 0 <br /> 19 <br /> he applied to the Dane County Zoning Supervisor for a permit %o "A,.e ,-p ."'" "'DP, <br /> To res,o�w�2 <br /> on premises described as S"' ��'/ -S ��� s,. c o-t' �S <br /> To of o=Q�oN'- , and that said permit was denied. <br /> The undersigned hereby appeals to the Dane County Board of Adjustment from the ruling of the Zoning Supervisor <br /> on the following grounds: <br /> (11111, <br /> Dated this ° day of <br /> c%G cJ 19Z <br /> • <br /> Signed Ail■-•4•4 <br /> APPELLANT <br /> • <br />