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PLANNING APPLICATION
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501 PRIMROSE ROAD, 2ND FLOOR, BURLINGAME, CA 94010-3997
TEL: 650.558.7250 � FAX: 650.696.3790 � E-MAIL: PLANNINGDEPT(�a BURLINGAME.ORG
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S PARCEL # (APNl ZONING
PROJECT DESCRIPTION
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PROPERTY OWNER NAME APPLICANT?
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PHONE
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�ARCHITECTIDESIGN�ER__� APPLICANT?
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ADDRESS
E�MAIL
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3URLINGAME BUSINESS LICENSE #
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"FOR PROJECT REFUNDS* - Please provide an adtlress to which to all refund checks will be mailed to: �.�� � �5 �p yry �f�
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NAME ADDRESS
4 HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION GIVEN HEREIN IS TRUE AND CORRECT TO THE BEST OF MY
K�tOWLEDGE AND BELIEF.
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APPLICANT' G ATURE (IF DIFFERENT FROM PROPERTY OWNER) DATE
I AM AWARE OF THE PROPOSED APPLICATION AND HEREBY AUTHORIZE THE ABOVE APPLICANT TO SUBMIT THIS APPLICATION TO THE
F'LANNING CO�AMISSION/DIVISION`
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PROPERT OWNE�TURE � DATE �
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 PART OF THE PLANNING APPROVAL PROCESS AND WAIVE ANY CLAIMS AGAINST THE CITY ARISING
011T OF OR RELATED TO SUCH ACTION � �(INITIALS OF ARCHITECTIDESIGNER)
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APPLICATION TYPE
� ACCESSORY DWELLING UNIT (ADU) ❑ VARIANCE (VAR)
� CONDITIONAL USE PERMIT (CUP) ❑ WIRELESS
� DESIGN REVIEW (DSR) ❑ FENCE EXCEPTION
❑ HILLSIDE AREA CONSTRUCTION PERh91T ❑ OTHER:
❑ ft41NOR MODIFICATION
Q SPECIAL PERMIT (SP)
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DATE RECEIVED: " .
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2019-090635
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11:36 am 10130/i9 NQ Fee: 98.00
Count of Pages 3
Recorded in Official Records
County of San Mateo
Mark Church
Assessor-County Clerk-Recorder
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�I2�e undersi_ane�l, b�in;� thc la�+ful o��ner o1 thc propert� c��mmnni} I:nci��n �as (aiidressj, f3urlin��ame. (:'alifornia. 9d010
a�jd �nor� parcicular�� describtd a.: 2517 easton drive,Burlingame.Ca 94010
�I'FIE L.�N[) SITUA"TED IN �'FiE CI 1�Y OF BURL,ING.A�,1t:, COUNtY OF SANMA"!'EO. S��ATE OI�
CAI.II�C)RNIA. DP.SCR113F.C? AS FOLLOw'S: .
nI'\'JP�;: 027-1 G�•070
:As a �onditiun tu re�ei�in�z a permit to construct an acces>ur� d�tiellin�� unit. hcreh} agrees:
i. 1�he accessory d��elling unit shall nat be sold separatel� 1�rom any part of the property on which it is locatetl;
`?. 'I�he accessor� d��elling unit is restricted to the standards speciiied in E3urlingame Municipal Code Chapter 25.j9;
and
�. "P he reSU�ictiuns shtill be binding upcm am succes;or in u��n�rship ui'the praE�crtv and lacl: uf compli�ince sh�al; restilt
in le��al acti��n a��ainst the prop�rt� u��ner.
SHIMING MICHAEL LIU ANQ TIFFANY LIU
�Namc and titl��
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ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validit of that document.
State of California
County of � � � )
On �C�(b�p� �C(� �?�(�'j before me, �J�ftSL�. C� U, �'l ��4,/ �k�
(insert name and title of the offic r)
personally appeared �({�VI l hq �l Lt amC� �l ��. � L f�C. ,
who proved to me on the basis of sati factory evidence to be the erson(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
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� p�: �^ � :F � JANE Ni. LIU :
WITNESS my h and offi i I seal. �, w� �o COMM. #2136381 ,
NOTARY PUBLIC • CALIFOflNIA �
U n'� ",* SAN MATEO COUN7Y �
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Signature (Seal)
Escrow No.: 10-4026424-GB
Locate �o.: CAFNT0941•0941-0005•0004026424
Tltle No.: 10-4026424BD
EXHIBIT "A"
THE LAND REFERRED TO HEREIN BELOW IS SITUATED THE CITY OF BURLINGAME, COUNTY OF SAN MATEO, STATE
OF CALIFORNIA AND IS DESCRIBED AS FOLLOWS:
Lot 23, Block 57, as shown on that certain Map entitled, "MAP OF EASTON ADDITION TO BURLINGAME N0. 6, SAN
MATEO COUMY, CALIFORNIA", filed in the office of the recorder of the County of San Mateo, State of Cal(fornia, on
December 04, 1912 in Book 8 of Maps at page(s) 34.
Joint Plant No: 027-019-195-07A
APN: 027-195-070