HomeMy WebLinkAbout5 Valdivia Ct - Application�ity of Burlingame Planning Department 501 Primrose Road P(650) 558-7250 F(650) 696-3790 www.burlin ame.org
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BURIJNGAME APPLICATION TO THE PLANNING COMMISSION
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Type of application: Design Review Conditional Use Permit Variance
Special Permit Other Parcel Number:
Projectaddress: � �A►rDl�(Il4- C-�.t�'Z-�
APPLICANT
Name: �`Q_c.H iTL; c.'�
Address:
City/State/Zip:
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ARCHITECT/DESIGNER
Name:_�l�s �`. �j-6�oic,�1� 1'"AI/4�
Address: ��'1 S. �'��• �j�'
City/State/Zip:_ �„t M��o Gr? G�(�F� J
Phone (w): ( � . 3•� '3 • 3�-� 5 '?��
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CITY OF BURLINGAME
PlANNING DEPT.
PROJECT DESCRIPTION: ENG��SG jlv) S� oF kxls']'7n14 �0�1� (ov�v po2oN �
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AFFADAVIT/SIGNA
given herein is true and
Applicant's
I know about the proposed
application to the Planning
Property owner's signature:
Date:
Date submitted:
PROPERTY OWNER
Name: ^tT.�� � r�.t.�. �oWSK.y
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Address: ���e,�orvir4 ��zC�
City/State/Zip:��2�ir•�c}Wn�:, G�P���c�)O
Phone (w):
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Please indicate with an asterisk *
the contact person for this project.
RECEN��
,4PR 2 5 2005
Date: a '—
h and hereby authorize the above applicant to submit this
ion.
under penalty of perjury that the information
PCAPP.FRM