HomeMy WebLinkAbout628 Vernon Way - Application�''�
oURLINGAME
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COMMUNITY DEVELOPMENT DEPARTMENT • 501 PRIMROSE ROAD • BURLINGAME, CA 94010
p: 650.558.7250 • f: 650.696.3790 • www.burlingame.org
APPLICATION TO THE PLANNING COMMISSION
Type of application:
❑ Design Review ❑ Variance
❑ Conditional Use Permit ❑ Special Permit
❑ Parcel
❑ Other:
PROJECT ADDRESS: 628 VEKNON WAY , gu�1,iNCzA�ME C,p� �1010
� Please indicate the contact person for this project
APPLICANT project contact person �I PROPERTY OWNER
project contact person ❑
OK to send electronic copies of documents �1 OK to send electronic copies of documents ❑
Name
Address
�EFF GUINTA
Name: JEFF
G. ��oNoVDAKIS
2801 MooRPARK av�, suire 4
City/State/Zip: SAN J05E / GA ( q512�
Phone: �408) 985-�o7B
Fax: L 40$) �i85- 13 43
E-mail: inncQfi@ sL��f�bal.net
ARCHITECT/DESIGNER pro�ect contact Person ❑
OK to send electro�ic copies of documents ❑
Name: ���F GUINTA
Address:
City/State/Zip
2801 MoORPARK AUE. SUITE 4
SAN 7�EI GA � 95128
Address:
628 vERNON w�Y
City/State/Zip: �R��NC aME / Ut / q� D Id
Phone: �6�) Zy2-2348
Fax:
E-mail:
Phone: ��ko$) q85-10'J$ p �
�f���
Fax: <<fo� ) q85- 1343
E-mail: lYlncpt @ Sbcgldbal . n et
�k Burlingame Business License #:_
2 3 Z013
?URLINGAME
►y3 5F
PROJECT DESCRIPTION: Mttvo�t MOOIFIGATION ro A�I,o�u"6EDROOM C-�rrENSioN p.N� ^�t�R WTeRioR
ql SF TD GREATE MAST�(2 P�TH • REP�AGE EXISTING WAT�R i{EA'TE(L WITH N�W TANW.ESS I�P�"fE� HEAT�R.
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.
ApplicanYs signature: Date:
I am aware of the proposed application and hereby authorize the above applicant to submit this application to the Planning
Commission. �
� `�, �_ �--.
Property owner's signature: �_ `i�� � Date: I L ��-i f;',
/
Date submitted:
* Verification that the project architect/designer has a valid Burlingame business license will be required by the
Finance Department at the time application fees are paid.
❑ Please mark one box above with an X to indicate the contact person for this project. s:�Harvoours�Pcappi�cot�o� zoos.no�dout.doc
This Space for CDD
Staff Use Only
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Project Description:
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Abbreviation Term
CUP Conditional Use Permit
DHE Declining Height Envelope
DSR Design Review
E Existing
N New
SFD Single Family Dwelling
SP Special Permit