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COMMUNITY DEVELOPMENT DEPARTMENT • 501 PRIMROSE ROAD • BURLINGAME, CA 94010
p: 650.558.7250 • f: 650.696.3790 • www.burlingame.org
APPLICATION TO THE PLANNING COMMISSION
Type of application:
✓❑ Design Review ❑ Variance
❑ Conditional Use Permit � Special Permit
❑ Parcel #:
❑ Other:
628 TRENTON WAY, BURLINGAME, CA 94010
PROJECT ADDRESS:
APPLICANT project contact person � PROPERTY OWNER project contact person ❑
OK to send electronic copies of documents � OK to send electronic copies of documents ❑
Toby Long AIA / AbbyWittman Charlotte Payton / Greg Smelzer
Name: Name:
6114 La Salle #552
Address:
Oakland, CA 94116
City/State/Zip:
415.905.9030
Phone:
N/A
Fax:
toby@tobylongdesign.com abby@toby
E-mail:
ARCHITECT/DESIGNER pro�ect contact person �
OK to send electronic copies of documents �
tobylongdesign/Toby Long AIA
Name:
6114 La Salle #552
Address:
Oakland, CA 94116
City/State/Zip:
415.905.9030
Phone:
N/A
Fax:
toby@tobylongdesig n.com
E-mail:
* Burlingame Business License #: Z$� 2- �p
Address:
029-165-140
316 South Humboldt Street
San Mateo, CA 94401
City/State/Zip:
415.305.9136
Phone:
Fax:
paytoncharlotte@yahoo.com gsmelzerC
E-mail:
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Demolition of (e) one-story single family residence with attached garage.
PROJECT DESCRIPTION:
Construction of new two-story single family residence with attached garage and partial basement.
AFFADAVIT/SIGNATURE: I hereby certify under penalty of perjury that the information given herein is true and correct to the
best of my knowledge and belief. i
Applicant's signature: � Date: (J �� �/�EJ ` G;E/� �
I am aware of the proposed application and hereby authorize the above applicant to submit this application to the Planning
Commission.
Property owner's signature: �ate: 5I2.�I ��
Date submitted: �1 �'�
�k Verification that the project architect/designer has a valid Burlingame business license will be required by the
Finance Department at the time application fees are paid.
S: �HANDOUTS�PC Application. doc