HomeMy WebLinkAbout1610 Hunt Drive - Application♦ ; 1cy:iT,i
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COMMUNITY DEVELOPMENT DEPARTMENT •�JO'I PRIMROSE ROAD • BURLINGAME, CA 9401 O
p: 650.558.7250 • f: 650.696.3790 • www.burlingame.org
APPLICATION TO THE PLANNING COMMISSION
Type of application:
❑ Design Review ❑ Variance
❑ Conditional Use Permit ❑ Special Permit
❑ Parcel
� Other:
PROJECT ADDRESS: �� ( C� �i �-n-� �%�' 1�,� J i -� C�
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APPLICANT project contact person �
OK to send electronic copies of documents ❑
Name: �,;n.. ��.cr
Address: ( 3 �v �� �,�.�G��� �i %i-��P�
City/State/Zip: .D6-Lti G�I�, C�f}-. '�Yo15
Phone: N !� — �,� u — � 9 � �
Fax: �� �2� .�.7� .y o u 9 0
PROPERTY OWNER project contact person 0
OK to send electronic copies of documents �
Name: s �-�-, �_ �-5 � f i2��--h,�"-
Address: _
City/State/Zip:
Phone:
Fax:
E-mail: f"L a �r.� ���a- �i-'�r' ���,:...�.vz� �� E-mail:
ARCHITECT/DESIGNER project contact pers�
OK to send electronic copies of document
Name: �?4,�ya�f.s' f���'i�'.S�
Address: .%� -�c�� �%��/A/� /%l�� •
City/State/Zip: �� � ✓` ✓/ ��, ! 7 `.�'�//S .
Phone: �/ �� � � f , �J/ ��
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Fax:
E-mail
�r Burlingame Business License #:
PROJECT DESCRIPTION:
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�$ 1���.����
OCT 2:� 2���3
CITY OF BU�LI�GF�ME.
C�JD-PLIaNN!F�c nr���
AFFADAVIT/SIGNATURE: I hereby certify under penalty of � ry that the information given herein is t�ue and correct to the
best of my knowledge and belief. ,�
Applicant's signature: " �-�--. Date: ( v
I am aware of the proposed application and hereby auth the abo e a licant to submit this ap ication t the Planning
Commission.
Property owner's signatu�e: Date: G%
Date submitted: � o I Z Z� 3
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ir Verification that the project architect/designer has a valid Burlingame business license will be required by the
Finance Department at the time application fees are paid.
S: �HANDOUTS��C Applicotion.doc
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