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HomeMy WebLinkAbout1294 Burlingame Avenue - Application� PLANNING APPLICATI�ON BIJRLINGAME COMMUNITY DEVELOPMENT DEPARTMENT—PLANNING DIVISION 501 PRIMROSE ROAD, 2ND FLOOR, BURLINGAME, CA 94010-3997 TEL: 650.558.7250 � FAX: 650.696.3790 � E-MAIL: PLANNINGDEPT(c�BURLINGAME.ORG � s.. __ - _-- _ =- -- --.... -.�-=--�,�.,,,4:,.,a.n.: ,� ,_:_ - .: - --> . . _ r --__. .�_ --- -:. Z , f > 1 � �� � k ) `%� �"� �r� �l l�'ik � � i.' L�:t ' � � � '� � � t-� ; J C1 � 0!' PROJECT ADDRESS ASSESSOR'S PARCEL #(APN) ZONING � !� a '� PROJECT DESCRIPTION �: o�� T� r'r'�k5 t-�tiE St�v�'����5 is L�b�5i1t;C> `TNG QC��U't (ZC���Z��I�;C;�Q 13��i���((�;�-, �;� �w� �r�.� ��a�E�Y��c� fk('r1rzo��� ,z� �Z���c���t� �h� ��n��� �N ��za�c���. o �� �� � ` r�� �-c � � �'�t�t � �� K� t=�� � ��� � i N � i K � �� �g�� n � �T'� , . � �� �%� U,�VL , L( l�k �0 �p C'� -•' ' z in� ' , C�liLl T� -� _ � � - a , „,,.� .� ���._ - - � --- — - __ - _. - __- --_._ _ _ . ---- - - _ ___ . �.—� ----- �, .;r��_ ,.. �-�.,_ _r - � - - --- --- --e�,_.,�.,mr.-.�.�_�n.�,�,.H,�.�..i.,.,.-., ---- _ ---- _ --�-��- _�. _y�� .- -.s- - _ _ I„ _ _. b i 'G�- • raS i�'LL� ' ��'1�� t��--�"��ep��� �Q. Sj�- � , �dLtk�Y„rEl�ii�' !� PROPERTY OWNER NAME APPLICANT? ADDRESS z !,; z?:: rv�G��9t�hE�.15. crx� O ;;,' PHONE E•MAIL H '', � � ;II ARCHITECTIDESIGNER APPLICANT? ADDRESS Z ;c �r��,� c�� � �; (h��`�c.��_,� �� j �� lv_> i�^ � �;kN► �t�L ��ra�'�'r'.�,> > �?�t; �,c;aN �:�d'�t'��: �-cia,�i� :' — '� PHONE E-MAIL � ~ � � .} G �� r � Q I'� � h V �� �j�%�?' -- �i��j� ci�rvuu�lli.r�I►u.jC�2�(J1,/ls (J �"G �'C''j, � � BURLINGAME BUSINESS LICENSE # �.3� � 2,Q a:. JV _ _ °- 'y *FOR PROJECT REFUNDS* - Please provide an address to which to all refund checks will be mailed to: a Ir i� �� � NAME ADDRESS - . _ .. . . .._ -� - - �W .�. ,.. _ ,�, - - ` � T_�, .� _�r . � � _: � �:_ . _�_r� � ��� I HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION GIVEN HEREIN IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. l ���;'t `� �J�J`'.i���'l� APPLICANT'S SIGNATURE F DIFFERENT FROM PROPERTY OWNERa � - l2. -Z( DATE I AM AWARE OF THE PROPOSED APPLICATION AND HEREBY AUTHORIZE THE ABOVE APPLICANT TO SUBMIT THIS APPLICATION TO THE $LAp�NING COMMISSION/DIVISION. `�� �Z-ZI PERTY OWN�R`S=�1G@IATDRE DATE �-�. . _ _--_ _ . __ _ �._�.��_�_,-a.�._m .,.��;_-r n.a_w,,.._ � _.._.:� , �.,,.... :� -_:��.��s,..�m..�, AUTHORIZATION TO REPRODUCE PLANS � i,� 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 PAfi�T OF THE PLANNING APPROVAL PROCESS AND WAIVE ANY CLAIMS AGAINST THE CITY ARISING '`i OUT OF OR RELATED TO SUCH ACTION �� 4�'� (INITIALS OF ARCHITECTIDESIGNERI , .-.-.-�-a�.�=_ -_�<- ___.���_ �-:-__:s .-�.. _-._ __. ..s.-�....-���..�a� .. -_........ _ __ J APPLICATION TYPE ❑ ACCESSORY DWELLING UNIT (ADU) ❑ CONDITIONAL USE PERMIT (CUP) .�SIGN REVIEW (DSR) ❑ HILLSIDE AREA CONSTRUCTION PERMIT MINOR MODIFICATION ❑ SPECIAL PERMIT (SP) ❑ VARIANCE (VAR) ❑ WIRELESS ❑ FENCE EXCEPTION � OTHER: I� I V10Y` e�,l a� 12P�;� ���CEIVED ����aY 17 202� C;'TY' OF BURLINGAME DATE RECENED: �OD-PLANNIN� DIV. � n � T � N m O z r �