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HomeMy WebLinkAbout2744 Summit Dr - ApplicationCity of Burlingame Planning Department 501 Primrose Road P(650) 558-7250 F(650) 696-3790 www.burlingame.org APPLICATION TO THE PLANNING COMMISSION BURLINGAME Type of application: Design Review1A Conditional se Permit Variance Special Permit Other _ X___ Parcel Number: 0272a11 7D Project address: 2 APPLICANT Su►MN1,i f Dyivt°i project contact person? $ Name: MZQa.0 -, ff&Cawe Address: '-3D3 NbLe�v Sfreef-, SWI* 4_C City/State/Zip: cSQ 7LA CW?,, CA- Tr3619 Phone (w): 3(- 4 51 - Of S— (h): (fax): &-�, I - I-S�`% - d`j` ff (e-mail): mq4ki& s SQ,ia . e,4pm ARCHITECT/DESIGNER project contact person? ❑ Name:_ {S" & L- &14k d , SS A-L,",4 2ge Address: 303 pe JL" Sfrt.2,f ; sm fe 10 C City/State/Zip: SA-fu CPU,-, 0 A- q Me o Phone (w): Xl -4r�- (h): (fax): (e-mail): ,Y k v2 A6 SEAZO -CO nt 'hgdni e CA -- PROPERTY OWNER project contact person? ❑ Name: cSus Qh 0.11d, Ld A;- .SqA Vo, Address: 27 S u►vlM;L pkfw City/State/Zip: BUrUyi4a,"e. /A- 1t 01 0 Phone (w): (fax): (e-mail): SZsAVVd- d !dAhoo .C,0* A"kz S, Inc, Please mark one box with 0 to indicate the contact person for this project. PROJECT DESCRIPTION: Vle V,/ NO-rd d[.t/f% 10 ►'Cb f ",0 a%L Ste, ;,)eW pAh'o aid Sfatj'rS, hew LA4'74 c!�IPi'n4 ,new �yal�ways 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: know about the proposed application and hereby authorize the above applicant to submit this application to the Planning Commission. Property owner's signature: (` 2'A QJ1 � Date: t� Date submitted: S:\Handouts\PCAPP.FRM