HomeMy WebLinkAbout400 Howard Avenue - Application�"r� T �* CITY OF BURI�INGAME
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l�.,_ :..• APPLICATION TO TI� PLANNING COMIVIIS��'EIVE�
Type of Application: �Special Permit Variance Other_ T� '� '995
Project Address:
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CITY OF g
� �n�v�v�NG DEPT.
Assessor's Pazcel Number(s): o.'z `1 -- � Co �-� 13
APPLICANT
Name: �� � �u� >i �� �
Address: `'i�sb ��Dc.��Kt��-�d �t�
PROPERTY OWNER
Name: '�'�P�� � � LU h41��a �ct,�r�4► a4�E,
Address: �oc� -(� W�►�c� �� �.
City/State/Zip: �� �� r��C �r,rr�� , C�;j �y�s�n City/State/Zip:_ __�3�.bl�a..t�.L�►r11E _� 9 y o i d
Phone (w) :`�'i s' ' 3�f f�- / ti d�'3
(h) : .��thn r �
fax: `�i� - �Yfr - �,�%�
ARCHITECT/DESIGNER
�Name:_ _�1'�or� �1-�li��.�. � ��S�L
Phone (w): 3 y g • ( �-183
Address: �I�c� �3�K.u�.tyls � S-3o`F
City/State/Zip:_�,UI4U�Llo�tt�. _ � . �i Yo 10
Phone (w): �4! "S - 3�� �-f� 9� 5�
(h):
f�: y i� 3�1 �- m� 8g
(h):
fax: 3`�� -�3�
Please indicate with an asterisk * the
contact person for this application.
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AFFIDAVIT/SIGNATURE: I hereby certify under penalty of perjury that the information given
herein is true and correct to the best o my kno ledge and belief.
- � �-/ � �3"%
Applic s Signa r Date
I know about the proposed application and hereby authorize the above applicant to submit this
application to the Planning Commis�ion.
�/� ���
Date Filed:
FOR
Fee:
� Date
CE USE ONLY
Planning Commission: Study Date: Action Date: