HomeMy WebLinkAbout2301 Valdivia Way - Applicationtr� ci� !
�BVR4NQAMG'i CITY OF BURLINGAME
;�� APPLICATION TO THE PLANNING COIVIlVIISSION
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Type of Application:_Special Permit_Variance_Other
Project Address: 2?� � ��"-��1 v/ a �c.: a
Assessor's Parcel Number(s):
APPLICANT � PROPERTY OWNER
GGc./4ICW�� �"�4u���-
Name: ���Lu-��.�r►-' -fi- ���i.o-�� Name: Jf ' � c.�� � v�.1 � .�,
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Address:_��� -�-F�+�t,.o.N �S' Address: a 3 0\ `J U1 �, � ��, �,.� �, �,
City/State/Zip: �f�•�-?e`� ✓�<-�- ��`�����' City/State/Zip: 1� ��\r�a � �,,_ � �(1� -
Phone (w): �� o�� y 2-¢4-33 Phone (w): 6�`O — S� y— 0 Y 9��
(h): 5/0�7���1a`'zo� (h): �SO- 596— �Y� �
fax: �/��G�Z-4-��� fax: %'S� � Sg`i — 0�l a7
ct��vT,+cT-.' �J�E �A�� lv�%i�13•4hao
ARCHITECT/DESIGNER
Name: (`�b�X'W�- P�'�°uc���'�'7-
Address: ��o t�t��� S�-
City/State/Zip: �u,�2YUlu,E <_'�4 �I�����
Phone (w): ��a/�5z�4-4-��
(h): %�0�76�� (�o�
Please indicate with an asterisk * the
contact person for this application.
fax: 7�o/�'cy 2- 5i � r
PROJECT DESCRIPTION:_ �����- %������ �e�-c��=� s7��-�c�n�w � /����-'-�rz,�r�c,n,-
AFFIDAVIT/SIGNATURE: I
herein is true and conect to the
sby ce�ti ynder ��fialty of perjury that the information given
of �tyy' , �wledg� and belief.
i�' �;� , ,
y
's
c
Date
I know about the proposed application and hereby authorize the above applicant to submit this
application to the P1anni�Commission.
\ Property Owner s Signature Date C
�S-L�C-�/--�-`=v�-/ - �
--- ----------------FOR OFFICE USE ONLY ----------------R.0 C EIVED _
Date Filed: Fee: NOV 1 8 1999
CITY OF BURLINGAME
Planning Commission: Study Date: Action Date: o�� �; N I N G D E P T.