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STATE OF WISCONSIN ) <br /> 1 SS 3EF0RE THE DANE COUNTY BOARD OF ADJUSTMENT <br /> COUNTY OF DANE <br /> APPEAL <br /> The undersigned hereby represents that on the 31st clay of r JJ 70 <br /> he applied to the Dane County ZoningSupervisor for a permit to build a house <br /> on premises described as Pt Nis NW (Lot 12, Burr Oak-Heights) <br /> Town of Roxbury , 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 /> A house cannot be built on this lot to conform to the requirements for rear yard <br /> as required by the Dane County Zoning Ordinance. <br /> L <br /> Dated this 31 day of 1 <br /> March / J 1 / <br /> 1e 70. Signe ; '>-e-1,v4;, .�i / �L <br /> APPELLANT <br /> L <br />