HomeMy WebLinkAbout624 Trenton Way - ApplicationCity of Burlingame Planning Deparhnent 501 Primrose Road P(650) 558-7250 F(650) 696-3790 www.bwlin�ame.or�
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�.�!a� APPLICATION TO THE PLANNING COMMISSION
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Type of application: Design Review �I" Conditional Use Permit Variance
Srecial Pemut Other Parcel Number: OZ� 3 D
Project
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APPLICANT PROPERTY OWNER
Name: /�'�7LY/hGl /��hL— Name:cSLZ/ � ��!7%���/,%%J��/�
Address: /-�Zo q�,�_ Address: �2 � ��,7�1-� �vl.
City/State/Zip: �lG�ly�eO�A' . �� %��/City/State/Zip: //{�/!/�Gi G�'%Y�G, C/ / • %�� d
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�ARCHITECT/DESIGNER
Name: �!/h L- �!i C ��
Address: �v�L� G�'�j S f •
City/State/Zip:..r��'1�/P�'G'! �%��/�'lease indicate with an asterisk �
Phone (w): lf/� - �Z 3 Lj?'1,6
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the contact person for this project.
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AFFADAVIT/SIGNATURE: I hereby certify under penalry of perjury that the information
given herein is true and correct to the best of my knowledge and belief.
Applicant's signature: „ Date: � ' Z/ �'�
I know about the proposed application and hereby authorize the above applicant to submit this
application to the Planning Commission. �_ '
Property owner's signature: � ate: �� c 4:�
ate submitted:
R�CEIVED
NOV 2 � 2006
PCAPP.FRM
CITY OF BURLINGAME
PLANNING DEPT.
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