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STATE OF WISCONSIN ) <br /> SS 9EFORE THE DANE COUNTY BOARD OF ADJUSTMENT <br /> COUNTY OF DANE ) <br /> APPEAL <br /> The undersigned hereby represents that on the 19th day of_ October 19 70 <br /> he applied to the Dane County ZoniugSupervisor for a permit to build an addition to a tavern <br /> on premises described as SW1/4 NA Section 15 <br /> Town of Cross Plains , 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 /> L <br /> Dated this 3rd day of l� <br /> November 191 <br /> Signed �' y,✓y <br /> ' APPJ/L.ANT <br />