HomeMy WebLinkAbout2748 Summit Dr - Application�.r� c�r o.
�R�N�.M� CITY OF BURLINGAME
� APPLICATION TO THE PLANNING COMIVIISSION
Type of Application:_Special Permit_Variance_Other
Project Address: �-1 y' �' Sl.� P�'l l�-i i f {� 62� �` t
Assessor's Parcel Number(s): '� � �� L L �_ L,c c
j� APPLICANT
Name: ��1.�. (� ti � ��ir'� �1�7 S C' (,,
Address: `�U 5I '��; �.Lv�'i�'f (ZD �" �f; �'
City/State/Zip: ���(�.L INC��, � C� `Z�bv¢ �
Phone (w): �'SG'� �`��'' %4�j�
�h�: (�y�•-�'���-1i(�..
fa�c: G� e� -"�j �'� - � I 1�
ARCHITECT/DESIGNER
Name: �Ckl,t !''�tY��"- ����' �-
Address: �'S I(� �` Ri, �i,jPt� (�L� ��'Q-� �'
City/State/Zip: ����I,ItLC�A�YL1t , C�� �(�k� i �'
Phone (w): (�'t,�� ` �J`�� " �j 11 � `-�'
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PROJECT DESCRIPTION: �� r" � 5« � F F�hP Pf? 0 tc �'� � 3 S f c�= �� �,(,E ��
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AFFIDAVIT/SIGNATURE: I hereby certify under penalty of perjury that the information given
herein is trae and coneci to ihe besi oi my icnowiedge and beiief. � C��� e' � n
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Applicant's Signatu e Date F E B 2 6 2002
I know about the proposed
application to the Planning Q
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Phone (w):_ ��G : 6 i�j - y Q.:Zc�
PROPERTY OWNER
Name: ���`{ �- E'�.r�F�Y.7� KIG�ZtF-�r�l�;
Address: 21 �"� 5�' ��� r OR( v�
City/StatelZip: ��'�'�'L��f�� G�► `�'-+��'� �'
�h�: �;5� _-�•�5_��y�,
fax:
Please indicate with an asterisk * the
contact person for this application.
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and hereby authorize
�
s Signature /�ate
-FOR OFFICE USE ONLY
Date Filed: Fee:
I I Y OF BURLINGAME
PI_APJMNG DEPT
ant to submit this
/� �
Planning Commission: Study Date: Action Date: