HomeMy WebLinkAbout2748 Summit Dr - ApplicationCity of Burlingame Planning Department 501 Primrose Road P(650) 558-7250 F(650) 696-3790 www.burlinQame.org
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BURLNGAME APPLICATION TO THE PLANNING COMMISSION
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Type of application: Design Review
Special Permit
Project address: � !
APPLICANT
Name:
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City/State/Zip:
Phone (wl:F � 11 T l �-/1`� -
Conditional Use Permit Variance
Othe✓ Parcel Number:
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PROPERTY OWNER
!'L1G��7 Name: �e,� V� f'
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� ARCHITECT/DESIGNER
Name: �v I n � o-�r! �S � A y 1-� t�l1�5 c� p��ts -
Address: `1 � �f �[�-� P-vi �vt �- f�C�
City/State/Zip: �� s-� Cs�. • YS /�s Please indicate with an asterisk *
Phone (w): �o ��/— v�/ � the contact person for this project.
�h>� �m� �� "��'� RECEIVED
( :4a8�-�7� os��
A P R- 9 2003
PROJECT DESCRIPTION:
CITY OF BURLINGAME
PLANNING DEPT.
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AFFADAVIT/SIGNATURE: I hereby certify under penalty of perjury that the information
given herein is true and co � ct to the best of my knowledge and belie£ ,
Applicant's signature: � Datc: � � L'� �
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: � z C� -
Date submitted:
PCAPP.FRM