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STATE OF WISCONSIN 1 <br /> SS BEFORE THE DANE COUNTY BOARD OF ADJUSTMENT <br /> COUNTY OF DANE ) <br /> A P I' ►, ;A L <br /> The undersigned hereby represents that on the 25th day of_November 19 70 <br /> he applied to the Dane County ZoningSupervisor for a permit_ to build an addition to a residence <br /> on premises described as lots 3 and lf, Kegonsa Park <br /> Town of Pleasant Springs , 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 /> Variance is needed to construct proposed addition. <br /> (11, <br /> Dated this 25th day of <br /> November, 1970 Signed a Lt/� c v <br /> APPELLANT I \ <br />