HomeMy WebLinkAbout1632 Skyline Boulevard - ApplicationPLANNING APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT —PLANNING DIVISION
501 PRIMROSE ROAD, 2ND FLOOR, BURLINGAME, CA 94010-3997
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TEL: 650.558,7250 1 FAX: 650.696.37901 E-MAIL: PLANNINGDEPTcDBURLINGAME.ORG
PROJECT ADDRESS ASSESSOR'S PARCEL # (APN) ZONING
PROJECT DESCRIPTION
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BURLINGAME BUSINESS LICENSE #
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*FOR PROJECT REFUNDS* - Please provide an address to which to all refund checks will be mailed to:
NAME ADDRESS
a. I HERVRTIFYR E IA OF PERJURY TAT THE INFORMATION GIVEN HEREIN IS TRUE AND ORRECT TO THE BEST OF MY
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APPLICAN SIGN . E FFERENT FROM PRO RTY OWNER DATE
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0, I AM AWARE OF THE PROPOSED APPLICATION AND HEREBY AUTHORIZE THE ABOVE APPLICANT TO SUBMIT THIS APPLICATION TO THE
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AUTHORIZATION TO REPRODUCE PLANS, --
I HEREBY GRANT THE CITY OF BURLINGAME THE: AUTHORITY TO REPRODUCE UPON REQUEST AND/OR POST PLANS SUBMITTED WITH THIS
APPLICATION ON THE CITY'S WEBSITE AS OF THE PLANNING APPROVAL PROCESS AND WAIVE ANY CLAIMS AGAINST THE CITY ARISING
OUT OF OR RELATED TO SUCH ACTION ` (INITIALS OF*RCMTEMDESIGNER)
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APPLICATION TYPE
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❑ ACCESSORY DWELLING UNIT (ADU)
❑ VARIANCE (VAR)
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❑ CONDITIONAL USE PERMIT (CUP)
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MAR _ 9 2020
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❑ DESIGN REVIEW (DSR)
❑ FENCE EXCEPTION
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HILLSIDE AREA CONSTRUCTION PERMIT
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❑ MINOR MODIFICATION
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❑ SPECIAL PERMIT (SP)
DATE RECEIVED:
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