HomeMy WebLinkAbout2829 Tiburon Way - ApplicationCT
a,RUN i CITY OF BURLINGAM E
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APPLICATION TO THE PLANNING COMNIISSION
Type of Application: Special Permit X Variance Other
Project Address: 2829 Tiberon Way, Burlingame, CA 94010
Assessor's Parcel Number(s): 0 2 5 0 3 3— 090
""APPLICANT
Name: Petkus Bros. & 5PAY
Address: 3068 Sunr' e Blvd-." #D
City/State/Zip: Ra cho Cordova,
Phone (w) : ( 1 6) 6 3 - 9 9 6 6
SAME. ABOVE
(l�):
( 9,Y6) 635-9X81
ARCHITECT/DESIGNER
Name:
Address:
City/State/Zip:
Phone (w):
(h)
PROPERTY OWNER Eb e r k& rJ (A)oC rZ
/ Name: Mr. & Mrs. Woerz
:Address: 2829 Tiberon Way
9574dity/State/Zip• Burlingame, CA 94010
Phone (w): (41 5) 692-7262
SAME AS ABOVE
fax: N / A
Please indicate with an asterisk * the
contact person for this application.
fax:
PROJECT DESCRIPTION: Lattice Patio Cover
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 belief.
x �, ( � ' L✓ / i
Applicant's Signature T Da
I know about the proposed application and hereby authorize the above applicant to submit this
application to the Planning Commission.
X
Property Owner's SignatUe Date
----------------------------------------------FOR OFFICE USE ONLY -----------------------------------------
Date Filed: .1 b I g r7 Fee: 4 3 101
Planning Commission: Study Date: 4 7 Action Date: 3 to q 7