HomeMy WebLinkAbout2721 Trousdale Drive - ApplicationCity of Burlingame Planning Department SQi Prunrose Road P{650) 558-7250 F(650) 696-3790 www.buriingame.or�
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APPLICATION TO THE PLANNING COMMISSION
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Type af application: Design Review Conditional Use Permit Variance
Special Permit Other�_Parcel Number:
Project address: �� Zl �IZt)uSp�L�, �Cz--�V �
APPLICANT
Name: �-�'� C �o �
Address: Z'i 2. I i-�L SD�.���v�,
City/State/Zip: �JU �l h1s-�� , tA .
Phone (w):
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ARCHITECT/DESIGNER
PROPERTY UWNER
Name: '. ��a�c_�. h�S ,��� .
Address:
City/State/Zip:
Phone {w):
{h):
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Name: Jc5 l�s.�N �a /�t�lh�
Address: 11\ C�L�c�t�l� W�d�Y `�`�
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City/State/zip: �,r� ��t....oS, ���`l-�Zo Please indicate with an asterisk *
Phone (w}: ��o � Q-� �� R� S Z. the contact person for this project.
�n�: c� �d � �c�� ���-h R�G�f il��
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JUL 1 5 2005
ClTY OF BURLiNGAME
Pi.AWNlNG DEPT.
PROJECTDESCRIPTION: ��P�T\o�-1- �. [Z�.t�C7�, l� l��.ii o� ��M�
AFFADAVITiSIGNATURE: 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: `�i�l � Date: `� • ( �'1 • Q �
I know about the propose plication �and he y authorize the above applicant to submit this
application to the Planning Commission.
Property owner's signature: ` Date:
� Date submitted: � 1 S d�
PCAPP.FRM