HomeMy WebLinkAbout2694 Summit Drive - Application��� Oo � o MG��Of��°�i]G
Q ° ° �C�La`��Oo �J �Oo �G�1C� ° ���]��]C� C�OfM]fM]D���Oo �1
�
� 9V ( ': ��: . _
9 � . . . .' . . _
0
� RqTED JUNE6 '�"
Type of Application: Special Perrnit Variance Other �•�.�-.P.
Project Address �-�-�----' �' � bq4 5�.�,w►►-►,►.;�% � r.
Assessor's Parcel Number(s) (��.'l - 13 0 - IZo �oT / � ° _�" � .� :�;� i �. ; !r ''�-�G Pi �cJ
APPL/CANT^�^ �+ � ,�.. PROPERTY OWNER �E�� �� �� T c R������
J OC. �?'O �A �S�'1 � ^ �_` i.� "� �,�
Name: �a�n �hea �c�.ti�.-oow�s �. Name: �e�'e �F-�a.tileh.e �a.u�c�so►�.
Address: �� W. �-�-Is�' �Ue. Address: ��q�l- 5��,.,�.,,�;-{- ��.
City/State2ip: Sa►1 Wla,-�eo . Ca. q44�D3 City/State/Zip: 8����kqa.�►.�e. , Ca . 94-o1D
Telephone:(work) _ _ 3y-1- ��.0 1
(home) �i3 - 0295
ARCH/TECT/DES/GNER
Name:
Address:
City/State2ip:
Telephone (daytime):
Telephone:(work)
Ihome) 34-8 - S'y-�s)
Please indicate with an asterisk !•1 who the contact verson
�s for this vroiect.
PROJECT DESCR/PT/ON: � ������ x� O� I OS�" ��: �� o�.�c.I.� su�c. S t,�.�,.�.-o o k.,.
A,�..d sa.� s i-� � ol.�.c�lc. . 5� x�g �re�.�l,� o�o�- i�sf'a.�CQ d<<-.
�,ou s-�. wo..,Q1' •
AFF/DA V/T/S/GNA TURE:
I hereby certify under penalty of perjury that the information given herein is true and correct to the
best of my knowledge and belief.
3 I 4- 9 3
A plicant's Signature Date
I know about the ication, and hereby authorize the above applicant to submit this
application. - � j
.� � � 5� .
:� ��
_ ..�_-._._-
roperty Owner's Signature Date
Date Filed:
---------0 F F I C E U S E 0 N L Y-----------------------------------------------------
Fee
Receipt #
Letter(s) to applicant advising application incomplete:
Date application accepted as complete: �
P.C. study meeting (date) P.C. public hearing (date)
P.C. Action
,z�s2 Appeal to Council? Yes No
a�;�P.fR„ Council meeting date Council Action