HomeMy WebLinkAbout2744 Summit Dr - Applicationa
COMMUNITY DEVELOPMENT DEPARTMENT • 501 PRIMROSE ROAD • BURLINGAME, CA 94010
p: 650.558.7250 • f: 650.696.3790 • www.burlingame.org
APPLICATION TO THE PLANNING COMMISSION
Type of application:
X Design Review ❑ Variance
❑ Conditional Use Permit ❑ Special Permit
PROJECT ADDRESS:
❑ Parcel#: 021�221- l`1p
❑ Other:
APPLICANT project contact person'
OK to send electronic copies of documents tq
Name: M010AA $)&C a �"ittkCt-1-
Address: 3D3 pDt"rM SbTAe, Slue 40-C
�
City/State/Zip: ,pKLyt C oAZ r64Pi-9 n� D
Phone:
Fax:
ur
90
PROPERTY OWNER project contact person ❑
OK to send electronic copies of documents ❑
Name: cS1tw 6,04 lb6t Styw-
Address: 2�ti� SttrK�t- �►�
City/State/Zip: IAf✓�hB�U kQ„ (. `� b D
Phone:
Fax:
E-mail: h'teAm Spa L4 •Getlk E-mail:
ARCHITECT/DESIGNER project contact person
OK to send electronic copies of documents bir
Name: SR,4 BUT'
Address: dIM1 e &S iMb l i ccuf-, , GLpo vw
City/State/Zip:
Phone:
Fax: RECEIVED
E-mail: cow SEP 14 20111
Burlingame Business License #: 2�5I 2 CITY OF BURLINGAME
_ . NNING DIV.
PROJECT DESCRIPTION: %6NS1t(ffm of J!1 ro PV e"A j W" f w se s on
�tac i Ski In.� olp-ck c��-- re�.r a f ��n.vi-,� •
AFFADAVIT/SIGNATURE: I he�ceunderenalty of perjury that the information given herein is true and correct to the
best of my knowledge elie
Applicant's signature: Date: ' /'3 ' 2 " %
1 am aware of the proposed application and hereby authorize the above applicant to submit this application to the Planning
Commission. Property owner's signature: 44W-dt..- J0L,1zva _ Date: q l `tII
—d-0I1
Date submitted: I + • II
yF Verification that the project architect/designer has a valid Burlingame business license will be required by the
Finance Department at the time application fees are paid.
S: �HANDOUTSI PC Applica tion. doc
S lCw o-14VA .
02,7 zv, 1 9 0
�-f