HomeMy WebLinkAbout27 East Carol Avenue - Application�, �,,.
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COMMUNITY DEVELOPMENT DEPARTMENT • 501 PRIMROSE ROAD • BURLINGAME, CA 94010
p: 650.558.7250 • f: 650.696.3790 • www.burlingame.org
APPLICATION TO THE PLANNING COMMISSION
Type of application:
❑ Design Review ❑ Variance ❑ Parcel #: ��T3o �—� a O
❑ Conditional Use Permit ❑ Special Permit ❑ Other:
PROJECT ADDRESS:� ��_(�c..,�vn 1 �C
O Please indicate the contact person for this project
APPLICANT project contact person,ffi
OK to send electronic copies of documents'�
Name: � 6� 2A� j�r� � tf?� nn-� -
Address: �� �,,.n�A. i'� /1 i,l r� 3 p
City/State/Zip: (.?,�.�oe�.� ��► q'�ap a
Phone: ��b� � s�,T d ��.. q
Fax: (�(� S T� Sq S-�� 1 d�
E-mail: ��,►�z�-", T���pe CaM
ARCHITECT/DESIGNER Project contact Person ❑
OK to send electronic copies of documents ❑
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Address: 3 6�'1 p�' Q a��
City/State/Zip:
Phone
ECEIVED
Fax:
E-mail: �(,�T�A- F-T � aL. �'�, �..� MAR 2 8 201Z
�* Burlin ame Business License #: �� �"�' �-� CITY OF BURLINGAME
j � "DD-PLANNING DIV.
PROJECT DESCRIPTION:�•��?�.me,,r �cL►'F'.n�t�
AFFADAVIT/SIGNATURE: I hereby certify under penalty of perjury that the information given herein is true and correct to the
best of my knowledge and be ief.
Applicant's signature: Date: �.-- p� �- —�a I�?
I am aware of the proposed application an hereby authorize the above applicant to submit this application to the Planning
Commission. —
Property owner's signature: Date: �^' ZS ��
Date submitted:
PR�PER'� QWNE,R project contact person ❑
OK to send electronic copies of documents ❑
Name: t-1~T 1� S�� N
Address: � � �
City/State/Zip: /� f"i� {`�� �� � g�"'d I�
Phone: � S �" � � r � � � �� �
Fax:
E-mail:
* Verification that the project architectldesigner has a valid Burlingame business license will be required by the
Finance Department at the time application fees are paid.
❑ Please mark one box above with an X to indicate the contact person for this project. s:�Halloours�Pcapp�;carion zoos.l,ondour.doc
This Space for CDD
Staff Use Only
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Project Description:
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Key :
Abbrev.iation _= Term� �
CUP Conditional Use Permit
DHE Declining Height Envelope
DSR Desi n Review
E Existing
N New
SFD Single Family Dwel
SP Special Permit