HomeMy WebLinkAbout2309 Valdivia Way - ApplicationCity of Burlingame Planning Department 501 Primrose Road P(650) 558-7250 F(650) 696-3790 www.burlingame.orQ
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BURLNGAME APPLICATION TO THE PLANNING COMMISSION
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Type of application: Design Review Conditional Use Permit Variance
Special Permit Other ✓ Parcel Number:
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Project address: �� � �' `j �' �r ( �' � ��' � =r �='�^-�, L ��rl � � r �w�-c C�� v'�-
APPLICANT
Name: - �.J
Address:
City/State/Zip:
Phone (w):_
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.� ARCHITECT/DESIGNER
Name:�.�°d,l l �t-- �I��tvb4�, � l�l S?� �
Address: if�}r'-t L�t.ri�2 S, .
City/State/Zip: �' L O�.C��,C� . ���
Phone (w): �OSD •�-i 3 ���£3
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PROJECT DESCRIPTION: �
PROPERTY OWNER
Name: 1�1`� 1�i'� v' S L- CU� �L
Address: Z,"� G% �( l,f u � e��v }� W�
City/State/Zip: I�v r � �r. c u�v� C►�-- �f 4 U� U
Phone (w): C� ��J — s 3 3-- �I b>>
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Please indicate with an asterisk *
the contact person for this project.
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AFFADAVIT/SIGNATURE: I hereby certify under penalty of perjury that the information
given herein is �i- rrect o the best of my knowledge and belief.
Applicant's sign �- Date: �O• 31 �c92,
I know about the proposed application and hereby authorize the above applicant to submit this
application to the Planning Commission.
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Property owner's signature: � � � ��`'� �`�'� l.�G`��(�'�' <<�Y Date: f 1 � 7� U?
Date submitted: � � " � � � � �
NOV - 7 Z002
CITY OF EiURL�f��`�J�EF�
PLANNING DEPT.