HomeMy WebLinkAbout2760 Burlingview Drive - ApplicationCITY OF EU�LINGAME
APPLICATIOO N TO THE f'LANNING COO MMISSION'
�vve of Annlication: Special Permit Variance Other_ %� -�� � C-�•
Project Address � %�oG� i�t�-r(,c_�n o�'VL�-c) � •
Assessor's Parcel Number(s) (�02�— �� �—1 �7U
APPL/CANT
Name: �J��v� S ��
Add ress: J _�1 Gt.�1r� �cU1�G �'? . . /��
City/State2ip: .SGI,� �a-� � � � ci� 3
Telephone: (work) ��� �� 3� f � �- ���
PROPERTY OWNER
Name: Li -- I�Si�r� i°�tti� � �e;� .-�hr�� ��e��
Address: � �� S Si.c w�vr°►� �'►-�
City/State2ip: -}-} i 11 �ImY'o �,c� i�t . �l'`�c�/�
Telephone:(work)
Qh�r�e;
ARCH/TECT/DES/GNER
Name:
Address:
City/State/Zip:
Telephone (daytime):
(h�me)
Please indicate with an asterisk !•J who the contactnerson
is for this nroiect. �
•1 • � •�
AFF/DA V/T/S/GNA TURE:
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 Date
I know about the proposed application, and hereby authorize the above applicant to submit this
application. �v � � _ ���.
,�C%i —��.�--,,,-�� i�y�i � -
Pro rty Qv�y�er's Si �at e� Dat�
� �"��n �"',1L� ' �� /� ��'��z_�. C - .� -S'�.
--------------------------------------------------OFFICE USE ONLY -----------------------------------------------------
Date Filed: ���� ,� Fee � � i� ��— Receipt #,
Letter(s) to applicant advising application incomplete:
Date application accepted as complete: '
P.C. study meeting (date) P.C. public hearing (date)
P.C. Action
,siaz Appeal to Council7 Yes No
wq�.f►ry, Council meeting date Council Action