HomeMy WebLinkAbout2756 Summit Dr - ApplicationCity of Burlingame Planning Department 501 Primrose Road P(650) 558-7250 F(650) 696-3790 www.burlin ap me,org
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BURLNGAME APPLICATION TO THE PLANNING COMMISSION
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Type of application: Design Review Conditional Use Permit Variance
Special Permit Other_�Parcel Number:
Project address: � � ��� �C% I'Yl �1'1 f f �I' ,
APPLICANT
Name: Fi�lil� C(-kf�i�i
Address: 1� S�G S u ti1 µ,y- S��e
City/State/Zip: ��' Q uN � w�� , '�-���cQ
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PROPERTY OWNER
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Name: � ���-�
Address:
City/State/Zip:
Phone (w):
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ARCHITECT/DESIGNER
Name:
Address:
City/State/Zip:
Phone (w):
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Please indicate with an asterisk *
the contact person for this project.
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�4uV - 7 2003
CITY OF BURLINGAME
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PROJECT DESCRIPTION: DE�c 5� � �rt-S
AFFADAVIT/SIGNATURE: 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: �� ���J Date: � l � 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: �`'1'�'`� `"" "� Date: � ��l �
Date submitted: % C� �
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