HomeMy WebLinkAbout2802 Tiburon Way - ApplicationBURLINGAME
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COMMUNITY DEVELOPMENT DEPARTMENT • 501 PRIMROSE ROAD • BURLINGAME, CA 94010
p: 650.558.7250 • f: 650.696.3790 • www.burl!ngame.org
APPLICATION TO THE PLANNING COMMISSION
Type of application: LK 1IftGP n� �f
Design Review ❑ Variance El Parcel #: Q 15 - 0 3 I J 0 4 Q
❑ Conditional Use Permit ❑ Special Permit ❑ Zoning / Other: R - 1
PROJECT ADDRESS: 2802 Tiburon Way
APPLICANT
Name: Curt Cline
Address: 1265 Indiana Street
City/State/Zip: t7^0 F>e-A�9. Cam. '141671
Phone: 4A 5-- s-i6 • -nbi
E-mail: M0V0&rh Q%AkL Q tAV - l,01^
ARCHITECT/DESIGNER
PROPERTY OWNER
Name: Darrvl Kwok
Address: Z "b1)7 nr>vty_a0
City/State/Zip: 13SA rIL-1 ?-2 1. 64N
Phone: 1- n oc,, - 4 3-1
E-mail: VY-u-i . (e21 Q.C.t-vlkjx t1.
Name: M 0N7 f-2 N F-w LA 5,f-
Address: Z(, C,
City/State/Zip:,4��w,.J�
Phone: 4- -
E-mail: iAoDewAjk_ko ChLOIM}i. trrh
Burlingame Business License #:
RECEIVED
DEC 15 2016
CITY OF BURLINGAME
CDD-PLANNING DIV.
Authorization to Reproduce Project 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. l (Initials of Architect/Designer)
PROJECT DESCRIPTION: P I GM vFii tof-r-4�0b15_ L
AFFIDAVIT/SIGNATURE: I hereby certify under penalty of perjury that the information given herein is true and correct to the
best of my knowledge and beliefZ25�1�
Applicant's signature: Date: L 2 • 15, IA,
I am aware of the proposed application arld hereby authorize the above applicant to submit this application to the Planning
Commission.
Property owner's signature_S %
Date submitted:
S: JHANDOUTS�PCApplicadon.doc
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