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Home My WebLink About2320 Valdivia Way - ApplicationCity of Burlingame Planning DepaRment 501 Primrose Road P(650) 558-7250 F(650) 696-3790 www.burlin ame.org ��, cirr e � BURLINGAME �''q...m APPLICATION TO THE PLANNING COMMISSION i-��Sil�� crr�t�i�i,�;Tl�� pi�;ZM(T Type of application: Design Review Conditional Use Permit Variance Special Permit Other Parcel Number: Project address: _�� '� T�IL C l� L� ��" APPLICANT Name: �� ` �=,�tr;(,� ,�.E�/,pr�c� Address: Z3 �—� V�C—� V I:� UJ `(" City/State/Zip: �r'� ��'�; c'� ��'�"� PROPERTY OWNER � Name: /'� �=-� a i�--��1�� rt%��-+�� Address: �—i � ��-�� u�� 'f� City/State/Zip: �� -{.� G'�- , C,� � �-v�c� Phone (w): �� -- �(-� _ ��{-7 Phone (w): � � - ''-s�S - 2-�=�j-7 (h): � `i- I - 0?'�7 I (h): � S� - 3�-t - � ?'7 I (fl� (fl� ARCHITECT/DESIGNER Name: •,�� `=� ��: i�� =� Address: � ZZt�; Qrf l.� %�2' %� City/State/Zip: �X,!IZt- �i�4 f�tij�. �� C��-l� Please indicate with an asterisk * Phone (w): iL 5L �'j�3 �-iGC'i � the contact person for this project. (h)� ��/ED cfl� C:�a -��75=�� OCT 2 1 2003 CITY OF BURLINGAME pLAf�il`llfdG DEPT. PROJECT DESCRIPTION: AFFADAVIT/SIGNATURE: I hereby certify under penalty of perjury that the information given herein is true and correct to the best af-r�t�y knowledge and belief. � �� Applicant's signature: � � � Date: � ' �� s �``-'> �� I know about the proposed applicati�nd hereby authorize the above applicant to submit this application to the Planning Commission. �, Property owner's signature: � Date: / - ' Date submitte �, �o- ZI•v3 PCAPP.FRM