HomeMy WebLinkAbout620 Trenton Way - Application/d�` Gr Ow
�R�N�.M� CITY OF BURLINGAME
�b,.. ..,,.. APPLICATION TO T�� PLANNING COMNIISSION
Type of Application: Special Permit Variance Other �-? i✓t cs,� �-1 o d, -�� ��� ��.�
Project Address: CO ZC1
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Assessor's Pazcel Number(s): �2 `�' -�� S- -�% C
APPLICANT PROPERTY OWNER
Name: 1�� l�, Gc.� 1 y�. G.� Name: d@ ►'c l� �� I P� � s`� �-�'-�
,
Address: /1 Z � � � f r� �• �, � �--� • Address: /i Z �- �; I ic� �� �.z, � ,
City/State/Zip: (�v �)w t�1, y�t Cs �� City/State/Zip: �;� ,� 1, C✓-1. � k�a i a
Phone (w): � `� Z- 5 �f � `T
(h): � �c � - 7 � 7 �
Phone (w): � � 2 � �--�f &� �
(h): (� ei 1- 7 .� 7 �
fax: C,�r�-Sti �'7
ARCHITECT/DESIGNER
Name: � ��/�� G a .-� �; -� , ��� .
Address: /% 2� �� l l� ��e�. L.� �
City/S tate/Zip: � � �' � � Gd . � � � i a
Phone (w): �4' Z - S'Yi � �r
(h): � �- 7 — � S 7 �
fa�c: � Fi 2 - S `� � °-�
fa�c: � �t Z - �-y �1
Please indicate with an asterisk * the
contact person for this application.
PROJECT DESCRIPTION: LS►4'�"�t ��.�.r.. �rld r �r�..,.
AFFIDAVIT/SIGNATURE: I hereby certify under penalty of perjury that the information given
herein is true and conect to the best of my knowledge 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 Commission.
t /`.3�—� 7
Property Owner's Signature Date
----------------------FOR OFFICE USE ONLY -------------
Date Filed: Fee:
Planning Commission: Study Date: Action Date: