HomeMy WebLinkAbout2700 Summit Drive (1 of 2) - ApplicationPLANNING DEPARTMENT
CITY OF BURLINGAME CITY HALL - 501 PRIMROSE ROAC
APPLICATION TO THE PLANNING COMMISSION gURLINGAME, CALIFORNIA 9401(
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
I know about the proposed application, and hereby authorize the
above applicant to submit this application.
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Property Owner's Signature Date
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1
�Ty e of Application:
Special Permit Variance
Project Address �%�0 =�v►�rv��`'l�-�.
Other
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Assessor's Parcel Number(s) � a-7- 130- �3c
APPLICANT
Name : a�� b
Address : �-��c
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PROPERTY OWNER
Name: /-���b Kl�o��t��
DY � v� Address: 2��c 5���n� -t i,���-+vc�
City/State/Zip �w'�i �► � aw� e, CA `Y���/� City/State/Zip ��'����yu.v�t f� C1� `i`�01 0
Telephone:(Work)
(Home)
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ARCHITECT/DESIGNER
Telephone ( Work ) �� 1 "�-� � c
�c Name : �' �� f�c�n �i i-t • I<l z�. z�. I<
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Address : ► o I E I C'-cuM� K c; 2�� �1
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Telephone ( daytime ): � 7 �"� G i 2-
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Please indicate with an
asterisk (*) who is the
contact per,son for this
pro i ect .
PROJECT DESCRIPTION � U�t, w� �`:h t ic A L J�t��r� �h 5��6e 11, �bz !� � � ti
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AFFIDAVIT/SIGNATURE:
-------------------------- OFFICE USE ONLY -----------------------------
Date Filed: 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
Appeal to Council? Yes No
Council meeting date Council Action