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PLANNING APPLICATION
COMMUNITY DEVELOPMENT DEPARI"MENT—PLANNING DIVISION
501 PRIMROSE ROAD, 2ND FLOOR, BURLINGAME, CA 94010-3997
TEL: 650.558.7250 � FAX: 650.696.3790 � E-MAIL: PLANNINGDEPTa(�.BURLINGAME.ORG
115 Humboldt Rd.
PROJECT ADDRESS
029-285-100 R1
ASSESSOR'S PARCEL # (APN) ZONING
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PROJECT DESCRIPTION
New attached Jr. ADU & new detached garage
PROPERTY OWNER NAME APPLICANT?
Arcus Housing
PHONE
415-385-8009
ARCHITECTIDESIGNER APPLICANT�
RDS/Residential Design Solutions
PHONE
650-218-8161
BURLINGAME BUSINESS LICENSE # 32840
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ADDRESS
1157 Church Street, San Francisco, CA 94114
E•MAIL
ritu@arcushousing.com
ADDRESS
406 La Jolla Avenue
E-MAIL
rds@christianruffat.com
*FOR PROJECT REFUNDS* - Please provide an address to which to all refund checks will be mailed to:
NAME
ADDRESS
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I HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION GIVEN HEREIN IS TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE AND BELIEF.
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APPLICANT'S SIGNATURE (IF DIFFERENT FROM PROPERTY OWNER► DAT
I AM AWARE OF THE PROPOSED APPLICATION AND HEREBY AUTHORIZE THE ABOVE APPLICANT TO SUBMIT THIS APPLICATION TO THE
PLANNING COMMISSIONIDIVISION. -�,
��..�-��.--� June 12, 2020
PROPERTY OWNER'S SIGNATURE
DATE
AUTHORIZATION TO REPRODUCE PLANS
I HEREBY GRANT THE CITY OF BURLINGAME THE AUTHORITY TO REPRODUCE UPON REQUEST ANDIOR POST PLANS SUBMITTED WITH THIS
APPLICATION ON THE CITY'S WEBSITE AS PART OF THE PLANNING APPROVAL PROCESS AND WAIVE ANY CLAIMS AGAINST THE CITY ARISING
OUT OF OR RELATED TO SUCH ACTION RDS (INITIALS OF ARCHITECTIDESIGNERI
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APPLICATION TYPE
� ACCESSORY DWELLING UNIT (ADU)
❑ CONDITIONAL USE PERMIT (CUP)
� DESIGN REVIEW (DSR)
❑ HILLSIDE AREA CONSTRUCTION PERMIT
� MINOR MODIFICATION
❑ SPECIAL PERMIT (SP)
❑ VARIANCE (VAR)
❑ WIRELESS
❑ FENCE EXCEPTION
❑ OTHER:
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DATE RECEIVED -
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