HomeMy WebLinkAbout2752 Summit Dr - ApplicationPLANNING DEPARTMENT
CITY OF BURLINGAME CITY HALL - 501 PRIMROSE ROAD
APPLICATION TO THE PLANNING COMMISSION gURLINGAME,CALIFORNIA94010
Type of Application: ,
�Special Permit �/Variance _Other
Project Address �7S,Z, Sv��l� 4//fr'/t/�
Address: �,75'� S��p����-- Address:
City/State/Zipj���yy�� �_qydl�City/State/Zip_
Telephone : ( work ) �l�15"Lt�,i?Z-3�}�'elephone ( Work )
Assessor's Parcel Number(s) <_- ' �- - -
APPLICANT PROPERTY OWNER � � � ? �� j, ����''�
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: r ,=� � �.
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Name : y ` �,�i� Name : �yy� ,o pJ ��� jj,Q� . � �'�'
( xome ) ���_�7a V
ARCHITECT/E�&.
Name:
Address: 3 �
�rir�� � �'i�5'G .�
Please indicate with an
asterisk (*) who is the
contact person for this
pro�ect.
Telephone ( daytime ) : �S`/�j� a g"�/— �j/,S�'�-
PROJECT DESCRIPTION ���� lJ�J� J i��j� d!'/� / C3�,
AFFIDAVIT/SIGNATURE:
(Home)
I hereby certify under penalty of erjury that the information given
herein is true and co ect to tj�" est of my knowledge and belief.
Gv / Z.
Applic nt�s Signature Date
I know about the pro osed application, and
above applicant to;s bmit this a- lication.
� �
Proper y Owner's Signature
hereby authorize the
� �
Da e
-------------------------- OFFICE USE ONLY -----------------------------
� .-,
Date Filed: '���7 � � ��� _ Fee � ���;'� Receipt # G ��(��
Letter(s) to applicant advising application incomplete: '
Date application accepted as complete:
P. C. study meeting ( date ) r'`:�r'Lt'_ P. C. publ ic hearing ( date ) j�� �'E � �
P.C. Action� ';, _ L���;= �) ���� %;��� ,��� �-- ,� �,` _ �-_
I � !` � >. i :� 4�
Appeal to Council? Yes No—, l
Council meeting date �— Council Action