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HomeMy WebLinkAbout1008 Toyon Drive - Application'{ 4 * �ITY t3F BURLIl�TGATVIE lIURLtNQ4M! ' ,AP�'I.ICATIUN TtJ THE PL�,1�TI�TIl�TG CONIlVIl�S5IQ1� `'zr :N�,, ���.: Type of AQp�ica�i�an: Special Permit . Variance 4th� I� �/ G-� �EU�E'G� Pm,�ect Address� � �� �'e?'�o � ��►''. . Assess+�r's Patc;el Number(s): ��'—�"� c- ��3�' APPLI+C,t11�I'r ATame•, �'�� �''�''��� .��� � � � �.aa�• I � R� citylstatelzip: �"` i +�-, C� ``�' ,� Phone (�}: � T `"� '- ���'Z �►): �. �'�T� -- cst l�' A�RCB�':�CT`I�FS�G�'rR Name• �►'1� C'� �-�a ✓� Address. � o � �q r � .� . CitylStatel2ip: � r�� ��,�� � Phone jtv}: �� 1 T �7 �;Z � i�i� ��q—o�l� rRo�c�c P�tQPERTY O�iER NaYne: Nn� E Gv Y f��T�n Address: � �' �' �� � r F �, CitylSfatelZip: �`a'� l�Q� w�'�, E C�- ��, ---•d Phone {�r�: �� {h): 3�- z — � 1 � f�c: Flease indica� with an asterisk * the cc�n�act �rson for this app�ica�ion. ���^� � � c� � �`--`--,` Q ►� AFF.�A►ViTIS�GNATUItJ:: I hereby �rt��y undex penatty of gerj�y that the %nforma�an given her�ir► is tru� and corr�t � the best Qf my knowledg� and �eiief. �. G�3 ,Appli�rtt's Signature Date I knnw about the prop€ss�d applic�tian a�nd hereb�r autharize the abcyve apglicant to sc�bmit triis application ta the Planning Cnmmission. Il � �� 3 . , Prope O ner's Signature Date .,.,. �____..�...,...___.�___....________.._._..g(�R �FPICE US� t)Ni'.Y ____�_____.n..,._..___________..____________.... Date Filed� F�: Planning �ommi�ic�n; Stndy �►aie: Actiot� Date: