HomeMy WebLinkAbout1517 Burlingame Avenue - ApplicationCITY OF BURLINGAME PLANNING DEPARTMENT 501 PRIMROSE ROAD P(650) 558-7250 F(650) 696-3790
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BURLJNGAME APPLICATION TO THE PLANNING COMMISSION
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Type of application: Design Review x Conditional Use Permit Variance
Special Permit Other Parcel Number:
Project address:
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APPLICANT ��C �,I,� PROPERTY OWNER
Name: /i-% � �/� %t�/� Name:_�� � � -�r�'�✓`� /� �d/.l���tJ
Address: 2 2g �2T�N !/� � //
Address: lS � � �(//t L , /`I !/�
City/State/Zip: �v� L ��- q�'Q / � City/State/Zip: �l/2L . �/4- 9��1�
Phone (w): �/� ���
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ARCHITECT/DESIGNER
Name: ��d �
Address: 2 Z d 10 rt. 7� i1% � d,L�
City/State/Zip: ��2 �- � ��1�
Phone (w): ���— /4��
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PROJECT DESCRIPTION:
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Please indicate with an asterisk *
the contact person for this pro'ect.
REC�IVED
FEB - 7 2001
CITY OF BURLINGAME
PLANNING DEPT.
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AFFADAVIT/SIGNATURE: I hereby certify under penalty of perjury that the information
given herein is true and correct o th be f my knowledge and belief.
Applicant's signature: Date: � � ��
I know about the proposed application and hereby authorize the above applicant to submit this
application to the Planning Co�nmission.
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Property owner s signature: � Date: ���
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B� PCAPP.FRM