HomeMy WebLinkAbout2635 Summit Drive - ApplicationCITY
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COMMUNITY DEVELOPMENT DEPARTMENT • 501 PRIMROSE ROAD • BURLINGAME, CA 94010
p: 650.558.7250 • f: 650.696.3790 • www.buriingame.org
APPLICATION TO THE PLANNING COMMISSION
Type of application:
❑ Design Review ❑ Variance ❑ Parcel #: �,� �� �� � ��3 �'
❑ Conditional Use Permit ❑ Special Permit ❑ Zoning / Other:
PROJECT ADDRESS: � 6 3� ��w� ►v� r7 Df2. 13c1 i2-L � N(�,� v� �
APPLICANT
Name: � C%(�c 1L �/, ,�i 1�1
Address: G�� S��-n-� Sb�vr_� Av� S�i�. I�-
PROPERTY OWNER
Name: �%� i2 fn� ,��1 c/ N� �I C,�
Address: a-b � S S�rti v+�� T D 2.
City/State/Zip: ����',� SA-i.t �/z.n-�� c� s�� CF1 ��o�� City/State/Zip: �u i2Li n1 G,A-i,v� �, (,� �'l � � f°
Phone: (D �� �-�( --65 6 �
E-mail: �iJ �U � ZGGD�r �,� T.h.I+G� . c�cM
ARCHITECT/DESIGNER
Name: �C �� C►-1 o �
Address: �n S�,c�~�� rz � c� �e. STE .�
Phone: � � � � c% � � � � � j �
E-maiL (��.( r c�o �c- �r-� i_� �/(,�t/� � L� C�v�
City/State/Zip: SocrfH S,dn� ��Z� n� c� s ro �.G1 `� �Fo �0
Phone: �� S c7 —��i- S� h�l (�
E-mail: ZN �� � Z C� D�SlCnn� zi�► G. C� wl
Burlingame Business License #: olq ���
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, _ ,,;.�,iG DIV.
Authorization to Reproduce Proiect Plans:
I hereby grant the City of Burlingame the authority to reproduce upon request and/or post plans submitted with this
application on the City's website as part of the Planning approval process and waive any claims against the City
arising out of or related to such action. J, G (Initials of Architect/Designer)
AFFIDAVlT/SIGNATURE: I hereby certify under penalty of perjury that the information given herein is true and correct to the
best of my knowledge and belief.
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Applicant's signature: Date: � E)�r� .�
I am aware of the proposed application and hereby authorize the above applicant to submit this application to the Planning
Commission.
Property owner's signature: Date: J�����
Date submitted:
S: �HANDDUTS�PCApplication.doc
PROJECT DESCRIPTION:_,)Zti��(-r-�in�z �v+non��, Dr� I �( � �iL�L«,a
This Space for CDD
Staff Use Only
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Project Description:
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DSR deposit/handling fee
paid by:
Key:
Abbreviation
CUP
DHE
DSR
E
N
SFD
SP
Term
Conditional Use Permit
Declining Height Envelo
Desian Review
New
Single Family Dwellin
Special Permit