HomeMy WebLinkAbout1461 Alvarado Avenue - ApplicationCity of Burlingame Planning Department 501 Primrose Road P(650) 558-7250 F(650) 696-3790 www.burlin�e_org
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�.�E APPLICATION TO THE PLANNING COMMISSION
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Type of application: Design Review Conditional Use Permit Variance
Special Permit Other • 1 � Parcel Number: O 2?• 103 - O 30
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Project address: f���� LV Fl R Kl >�� � V L
APPLICANT PROPERTY OWNER
�- Name: ��C:U��GC- SC�It�bi2f�u �►.1 Name: (��EDrtGE SCn2go2ov��_1
Address: � y 6 I 1� l.V A R Y� D D AU�
City/State/Zip: 3u iZU i.�� FYr-t e�W 1401L�
Phone (w):
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City/State/Zip: Bv �LU 1JC� A N L CY} 9� G I O
Phone (w):
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ARCHITECT/DESIGNER
Name: J A C� M� cp R TN V
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City/State/Zip: SA� �'os� C�1 �S/��
Phone (w):�4d Ai q1,� -016 �
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Please indicate with an asterisk *
the contact person for this project.
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PROJECT DESCRIPTION: A DD)►J L 1� �.1C W G�1 RDEN ROO!-1 Ta Tt1 �
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AFFADAVIT/SIGNATURE: I hereby certify under penalty of perjury that the information
given herein is true and correct to the best of y knowledge and belief.
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Applicant's signature: ' r Date: �� / % ;S
I know about the proposed application and hereby authorize the above applicant to submit this
application to the Planning Comm'ssion.
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Property owner's signature: � Date:____���L.`� j��
Date submitted:
CITY OF BURL.INGAME
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