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HomeMy WebLinkAbout1610 Toledo Avenue - Application:tir� cir w �,R�N�,M� CITY OF BUItI�INGAME ��. e- APPLICATION TO TI� PLANNING CONIlVIISSION \b• .o� Type of Application: Special Permit Variance Other Project ❑f Assessor's Parcel Number(s): APPLICANT � Name: � �� � �-1 � Address 3 � '�— 3 � �� �/� City/State/Zip: � n� �� , � Phone (w): ��GtSC�) ���-�� c�� (h): fax:,fl�� �� 34��—`���' 7 PROPERTY OWNER 7 Name:_ i ���� i,A�vFi - ��Hv ��,9�vC;7 � .� Address: (� / G / � �� � � City/State/Zip: _ U� �- ��C ,�f � u0 / � Phone (w): �n�:_��s�� � � 7 - 7 7c� � ARCHITECT/DESIGNER 7 � Name: /a ' rf � / �� ,�v �'�- Address: �� � .f<S ► -3�� � City/State/Zip: ��A-na /�,�-1' (� , �� Phone (w):_ ��J� � �4� -�Jr-��� (h): fax: �� Please indicate with an asterisk * the contact person for this application. PROJECT DESCRIPTION: %6D�1 ��j � � �� " � �%T�_l'�_ �,� l�4 ,�' f7�'� � AFFIDAVIT/SIGNAZ'iJl�hereby certify under penalty of perjury that the information given herein is true and correct to th best of my knowledge and belief�J / ��/ l � I know about the proposed application an� he y a thorize the above applicant to submit this application to the Planning Co ,/�si .°, � f � �/ro �l � Pro rty r's Signature Date ----------------------------------------------FOR OFFICE USE ONLY ----------------------------------------- Date Filed: (< i o°l F�; � 2 �o . oc� Planning Commission: Study Date: Action Date: