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PLANNING APPLICATION
GOMMUNiTY t?EVELt�PMEtdT DEPA�TME�lT—PL�NhlING DIVISfON
501 PRIMROSE ROAD, 2ND FLOOR, BURLINGAME, CA 94010-3997
TEL: 650.558.7250 � FAX: 650.696.3790 � E-MAIL: PLANNINGDEPTanBURLINGAME.ORG
2752 SUMMIT DR., BURLINGAME, CA 94010 027-221-210 R-1
PROJECT ADDRESS ASSESSOR'S PARCEL #(APN) ZONING
PROJECT DESCRIPTION
DEMO EXISTING RESIDENCE AND BUILD NEW HOUSE WITH ATTACHED GARAGE
MICHAEL KUPERMAN
PROPERTY OWNER NAME APPLICANT?
415-867-3210
PHONE
STEPAN BERLOV
ARCHITECTIDESIGNER APPLICANT?
415-297-1959
PHONE
2752 SUMMIT DR., BURLINGAME, CA 94010
ADDRESS
MISHASFCA@GMAIL.COM
E-MAIL
5198 QUAYLE LN, SEBASTOPOL CA 95472
ADDRESS
STEPANB@GMAIL.COM
E-MAIL
BURLINGAME BUSINESS LICENSE #
_._........._.,...,_.... ......_...._ ...... .... ................ . ...................._.._..... ._................._.. ......_....._ _,...._,.. . . _._..._. ..._._...._ _..._. _ _.
*FOR PROJECT REFUNDS* Please prowde an address to which to all refund checks will be mailed to:
MICHAEL KUPERMAN 2752 SUMMIT DR., BURLINGAME, CA 94010
NAME ADDRESS
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 (IF DIFFERENT FROM PROPERTY OWNERI
I AM AWARE OF THE PROPOSED APPLICATION AND HEREBY AUTHORIZE THE ABOVE APPLICANT TO SUBMIT THIS APPLICATION TO THE
PLAN�}ING MISSIONIDIVISION. ,
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PROPERTY OWNER'S SIGNATURE DATE
AUTHORIZATION TO REPRODUCE PLANS
I HEREBY GRANT THE CITY OF BURLINGAME THE AUTHORITY TO REPRODUCE UPON REQUEST AND/OR POST PLANS SUBMITTED WITH THIS
APPLICATION ON THE CITY'S WEBSITE AS PART OF THE PLANNING APPROVAL PROCESS AND WAIVE ANY CLAIMS AGAINST THE CITY ARISING
OUT OF OR RELATED TO SUCH ACTION SB (INITIALS OF ARCHITECTIDESIGNERI
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APPLICATION TYPE
❑ ACCESSORY DWELLING UNIT (ADU) ❑ VARIANCE (VAR)
❑ CONDITIONAL USE PERMIT (CUP) ❑ WIRELESS
� DESIGN REVIEW (DSR) ❑ FENCE EXCEPTION
❑ HILLSIDEAREACONSTRUCTION PERMIT ❑ OTHER:
DATE
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CITI' O� 6�:RLINGAME
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DATE RECEIVED:
❑ MINOR MODIFICATION
❑ SPECIAL PERMIT (SP)
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