HomeMy WebLinkAbout2304 Valdivia Way - Application'� � ' CITY OF BURLINGAME �
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� APPLICATION TO THE PLANNING CONIlVIISSION
Type of Applicatian:_Special Permit_Variance_Other U► �.�.5 I 1�� A��
Project Address: Z-3��- Vi�l�bl�/1A WA�
Assessor's Parcel Number(s):_ U 2 S �� Z 2'1Q
APPLICANT
Name:
Address: Z
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PROPERTY OWNER
Name:�dA�A'mt�d'�'bl�4Nt'� g�KI.E`�
Address: Z- ��' �Y VA�-'S�I U IP� 1N1�`(
City/State/Zip: G U2`'�r�A�nn � �l 4� � �
Phone (w): 4�S Z.YL " 13 7
(:�) : CP'So � Co °l 2 - � l `b
fax:
ARCHITECT/DESIGNER
� Name: �IU�<t� �NN _ ►�
Address:�C�� J���
City/State/Zip: SPr1 �p.n�H.Sw C�T
Phone (w): �-1 � S�d7 - S��
(h):
fax: �-t� ? ��►—v`a 7 3
Phone (w): �-� S �'l 2- I 3 2
(h): (�'S� �a � 2 - SF l `b
fax:
Please indicate with an asterisk * the
contact person for this application.
FROJECT DES CRIPTION: %�N�*f �� I'(1 or� PT 'FiP�i-�f QI N l rti le«� ,. /� 150 �
� 54, �n� �s� , Ar-b �' �,rL. e c�� i���n;, P�� sb s w �� -
AF�'IDAVIT/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�xM� � � 2�01
Applic�s ignat e Date
I know about the proposed application and hereby authorize the above applicant to submit this
application to the Planning Commission.
� 1-��1 � ���a.;.-%� . , � � G ( �
Property Owner' ate
----------------------------------------------FOR OFFICE USE ONLY -----------------------------------------
Date Filed: � C �
i �
Planning Commission: Study Date:
�l►�. �� RECEI�IED
Action Date: JAN ' 3 2001
CITY OF BURLINGAME
PLANNING DEPT.