HomeMy WebLinkAbout1011 Toyon Drive - Application� �
ei�R��i CITY OF BURLING�.E
�.�. `- ;, i APPLICATION TO TH� PLANNING COMIVIISSION
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Type of Application: Special Permit Variance Other % Np ^/1'�L�,� -+� C� i���
Project Address: ; �C%�% �D�a���� i'��-
Assessor's Pazcel Number(s): (� C-' �.�� ��� �
APPLICANT PROPERTY OWNER
Name: '�r;-lrP'�i'�Cls' ��i�,'f�l��� `� Name: -S��i�(�-
Address: i D 0/ `� v��%,�,�%� .
City/State/ZiP� /�!.-.�'_,` ��'���� ��?��
Phone (w): -S0� � � �/ ��� �j
(h): �C;.�ii �
Address:
City/State/Zip:
Phone (w):_
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fa�c:
ARCHITECT/DESIGNER
Name: ��i�;�/.�/; ��' ���rc� ��
Address:
City/State/Zip: l�'TOr�� <'�%
Phone (w): �Ci/S � %�? � /�� �
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fax:
Please indicate with an asterisk * the
contact person for this application.
fax:
PROJECT DESCRIPTION:_ _ ���c;�� /� �{c �� iv �t�.�G����;.�✓
AFFIDAVIT/SIGNATURE: I hereby certify under penalty of perjury that the information given
herein is true and conect to the best of my owledge and belief.
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Applicant's Signature Date
I know about the proposed application and hereby authorize the above applicant to submit this
application to the Planning Comm,�ssion.
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Property Owner's Signature Date
----------------------------------------------FOR OFFICE USE ONLY ------- - - -- --------------------
��C�IVED
Date Filed: F�;
JUN 2 6 2000
Planning Commission: Study Date: Action Date:
CITY OF BURLINGAME
PLANNIN� DEPT.