HomeMy WebLinkAbout2667 Summit Drive - ApplicationCITY OF BURLINGAME PLANNING DEPARTMENT 501 PRIMROSE ROAD P (650) 558-7250 F (650) 696-3790
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BIJRLINGAME APPLICATION TO THE PLANNING COMMISSION
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Type of application: Design Review Conditiona se Permit Variance
Special Permit Other Parcel Number: rZI- ?Wrl
Project address: ; 61 6 0 6WAI(r Mye
APPLICANT
Name: t;� 10! o
PROPERTY OWNER Name6g�4c-,, 4 N +/�. �r�
Address: q� ,+?Address: 2 6 61 1"M fr M Vt—:1
City/State/Zip:f W � � CWV'111?tity/State/Zip:16tW--�tiKU,61A fO
Phone (w): 0,2- 2t)4�, 00C ' i—
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,,tARCHITECT/DESIGNER
Phone (w):
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Address: -G A P ti PWj Please indicate with an asterisk
6tKkAN� C' � 10-Ijthe contact person for this project.
City/State/Zip: i
Phone (w): l �v - �A-7 ,r2Or�7A-
(h):
187 DUMI :71_21 1130E
AFFADAVIT/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.
Applicant's signature: Date: 5 ��
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I know about the proposed application and hereby authorize the above applicant to submit this
application to the Planning Commission. RECEIVED
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Property owner's signatureDate: �4/ 3? 00.�
MAY 1 003
PCAPP.FRM
q', 1 6 � • CITY OF BURLINGAME
PLANNING DEPT.