HomeMy WebLinkAbout705 Vernon Way - Application—
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URLINGAME
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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 #:
❑ Zoning / Other:
PROJECT ADDRESS: 7O5 V@I'CIOn Way, Burlinqame CA.
APPLICANT
Name: JESSE GEURSE
Address: 405 BAYSWATER AVENUE
City/State/Zip: BURLINGAME CA.94010
Phone: 650-703-6197
E-mail: JGEURSECa�SBCGLOBAL.NET
ARCHITECTIDESIGNER
PROPERTY OWNER Name: Peter Blum
Address: 705 Vernon Wa
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Phone:
E-mail: hillary.blumCa�qmail.com
Name: JESSE GEURSE, GCD, INC.
Address: 405 BAYSWATER AVENUE
City/State/Zip: BURLINGAME CA. 94010
Phone: 650-703-6197
E-mail: JGEURSE@SBCGLOBAL.NET
Burlingame Business License #: 22811
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Authorization to Rearoduce Proiect 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. JG (Initials of Architect/Designer)
PROJECT DESCRIPTION: New staircase to new second level floor, master bedroom addition.bath.
and closet with sitting lounge
AFFIDAVIT/SIGNATURE: I hereby certif�vUnd�r penalty of perjury that the information given herein is true and correct to the
best of my knowledge and belief. / � ,, �
ApplicanYs signature: / i � � -z Date:
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I am aware of the proposed application and hereby authorize the above applicant to submit this application to the Planning
Commission. , - ,
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Property owner's signature:��F�� '`��, 1. `- Date: � �%�',::� l C'
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J Date submitted:
S: �HANDOUTS�PCApplication.doc