HomeMy WebLinkAbout729 Vernon Way - ApplicationCITY OF BURL[NGAMB PLANNING DEPARTMENT 501 PRMROSE ROAD P(650) 558-7250 F(650) 696-3790
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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:
Proj ect address: 7�%i� ���'�`�01`�- l�t� ,�U L� (�t�.� f's �'� �
APPLICANT PROPERTY OWNER
Name: �C�iP���T If��Llrl�l�l`��f}�t1�7f�Name: �f�`11f7 I/JHI'1�Sl�E
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City/State/Zip: ��kt�i YIl1f�TEI�fCl� q4402 City/State/Zip:
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ARCHITECT/DESIGNER
�` Name: M,�QC.,A�ET ���l,l,tl����� {�I�L�i�7�.-r
Address: IZ� Iq-1'l� A�! E
City/State/Zip: �.�1•1 j1/1l�1��.� /',A �(44UL
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Please indicate with an asterisk *
the contact person for this project.
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PROJECT DESCRIPTION:
���EIVED
�E6262001
''iTY UF BURLINGAME
F'LANNING DEPT.
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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: �� %� � Date: 2 �ZZ�D�
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I know about the proposed application and hereby authorize the above applicant to submit this
application to the Planning Commission.
Property owner's signature: � Date: �' Z� O�
PCAPP.FRM