HomeMy WebLinkAbout2723 Burlingview Drive - ApplicationBURUNpAME, '
II p: 650.558.7250 • f: 650.696.3790 • www.burlingame.org
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APPLICATION TO THE PLANNING COMMISSION
Type of application:
❑ Design Review ❑ Variance L� Parcel #: d Z� - Z 6�— d��j
❑ Conditional Use Permit ❑ Special Permit E� Zoning / Other: N A�P
PROJECT ADDRESS: y�' �'� �"�'����� �- �
APPLICANT
Name: �'U'�I12�E'�''� ��� ; 1iV��ti� t��Lt�
Address: �S�'�' ('1-L1� �- L►� . � �51�
City/StatelZip: r`�'�`�'� �� �-�&- °� `iU �� U
Phone: � � — Z� 5 -°I51�(.
PROPERTY OWNER
Name: b A�/�� K.�I N. d-- 1`t�c�.i.55A �sS(Lt1�,et,+,l,t,
Address: 2��� �d►���� �� � •
City/StatelZip: ���D� �iA � `�6 ��
Phone: �'� y �' � � `� � �Z
E-mail: �'� ►2�"( �l1aSl ��2+�� tb� • �Or'l
ARCHITECT/DESIGNER
E-mail: ��- Q"�SH��.G` �C�t��-+�-✓�•�.�
Name: 5�� � ��PL.lr�h-1�
Address: _
City/State/Zip:
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APR � � %s;`7
Phone:
E-mail
C!?Y OF BU�LIN�,�,ME
�;!�D-S�LF,C1R11i�s,G D!'J.
Burlingame Business License #: ��� � �
Authorization to Reproduce Proiect Plans:
1 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 part of t Planning approval process and waive any claims against the City
arising out of or related to such action. (Initials of ArchitecUDesigner)
PROJECT DESCRIPTION: M,�k`✓�-� sti^-�� ���5� �1� �a'�'6L
AFFIDAVIT/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.
ApplicanYs signature: Date: �! �� ( �
I am aware of the proposed applic ion and hereby authorize the above applicant to submit this application to the Planning
Commission.
Property owner's signature: /9�'�� ��L" Date: t( �l ( n
Date submitted:
i �ii5 ��ac� iur �.uu
Staff Use Only
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Project Description:
1-��K.. p � �- a 1 S�" �-ca-v� � o�,c� .i-� ��, -�---o �f
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DSR deposit/handling fee
paid by:
Key :
Abbreviation
CUP
DHE
DSR
E
N
SFD
SP
Term
Conditional Use Permit
Declining Height Enve
Desian Review
Existing
New
Single Family Dwellin
Saecial Permit
C�ty of Burlingame D artments
Building and Plannin8 �P
501 Primrose Road
Buriingame, CA 94010
Datie: April 17, 2017
To Whom It May Concern:
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,�,F��� �, � ?���
Li"��l''�f= l3l�I�LlNGAME
c;�,�r-rc_r�n�r������c:� c��i.
We, David Klein and Melissa Germaine of 2723 Burlingview Drive, Bwlingame, California,
do hereby g�nt authorization for ow agent, Audrey Tse or Lauren Lee, of inSite Design to
submit drawings and required materials on our behalf as related to our residential remodeling
project. Additionally, inSite Design is authorized to apply for any necessary building pernuts
and represents our best interest in any communications related as such.
If you have any questions, please do not hesitate to contact us at 415-269-7712.
Sincerely,
, f _.�.._---�� ��� �'�--�-e---�-
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David Klein and Melissa Gennaine
Ownexs, 2723 Bwlingview Drive
Burlingame, CA 94010