HomeMy WebLinkAbout2517 Valdivia Way - ApplicationCity of Burlingame Planning Department 501 Primrose Road P(650) 558-7250 F(650) 696-3790 www.burlingame.org
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BURIJNGAME APPLICATION TO THE PLANNING COMMISSION
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Type of application: Design Review Conditional Use Permit Variance �%,q. C�
Special Permit Other Parcel Number:
Project address: Z�� 7(/��—��/ ���9- wf}
APPLICANT
Name: le� �-ER i� �i1 ��7�
Address: ZS � � !/q�c.� iv rA wR 7
City/State/Zip: �Uie��^� �?y'^�F C.� �i�iu io
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ARCHITECT/DESIGNER
Name: .SG� as A�/�/� c..�i
PROPERTY OWNER
Name: ,('G � aS �•/�,�(«/
Address:
City/State/Zip:
Phone (w):
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Address:
City/State/Zip:
Phone (w):
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Please indicate with an asterisk *
the contact person for this project.
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PROJECT DESCRIP i iJN• /( � pod � G?�Qi� c.�- ��et/ a� �ia �+J p
AFFADAVIT/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.
Applicant's signature: ���� Date: ��+ a�
I know about the proposed application and hereby authorize the above applicant to submit this
application to the Planning Commission.
Property owner's signature:_ ���'—� � Date: �� 0 3
Date submitted: � � ��
PCAPP.FRM