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HomeMy WebLinkAbout2822 Tiburon Way - ApplicationCity of Burlingame Planning Department 501 Primrose Road P(650) 558-7250 F(650) 696-3790 www.burlingame.org RAO CITY 8Z APPLICATION TO THE PLANNING COMMISSION Type of application: Design Review Conditional Use Permit Variance Special Permit Other Parcel Number: Project address APPLICANT Name: YT166 G - L I _ Address: 3 �vvi 5. City/State/Zip: Cl,:!- ��GA. ��j Co I D Phone (w):( 69',>0) f�U �'-0 -4© y (h): (f2I D) Z 7 2 -O'H Z4, (f): (old) Z--�2. - �l-1 ARCHITECT/DESIGNER 11 W K11 W 01'A rALWAMIZI 01.4 Name: 1 G 1J V I C f—y CtolCt.►Gl✓ r Address: 2 ZZ vrvr-) b City/State/Zip: '�v►' 1 YIGu rri� >C� . �{D I D Phone (w): (h): (g5c) (c 9 2- . - Name: c M eONam/=-2�3 Address:,3 U f �G�-<yndyt 1 4 4?,a?j City/State/Zip:Ci-,,, LIB-► rg,, c,&- - 94f1 t U Please indicate with an asterisk Phone (w): (h): ( Sld) Z2 -OJ-f 2-�P (fl: C-51r->, 2z -Gjr Z� PROJECT DESCRIPTION: the contact person for this project. ,,kvp I�Lt RECEIVED NOV 2 0 2003 CITY OF BURLINGAME PLANNING DEPT. 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: ii;- �` Date: % 0 I k I know about the proposed application to the Planning Property owner's signature: Ive applicant to submit this Date: d% / 0 3 bmitted: PCAPP.FRM