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STATE OF WISCONSIN ) <br /> SS BEFORE THE DANE COUNTY BOARD OF ADJUSTMENT <br /> COUNTY OF DANE ) <br /> APPEAL <br /> The undersigned hereby resents that on the 6th April ']0 <br /> (lay of l9 <br /> he applied to the Dane County ZoningSupervisor for a permit <br /> The permit was issued. The building measures less than setback required. <br /> on premises described as _ Lot 1, Block 2, Village of Mt. Vernon <br /> Town of Springdale - -___, 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 i.c. 7 L <br /> �5 .SG _, r �S � „5-,77/.1, (//4/. S -.(Z.ry '/l <br /> PSG" � C:4 Jt�C/, , d, <br /> 16(2, 4 v ,_.. .ate C1v ro7.,N✓,- <br /> L <br /> Dated this day of <br /> 19— Signed 4 f 1/S-. zLc- <br /> APPELLANT <br />