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1785 Hunt Drive - Application
�r� T �* � CITY OF BURLINGAME eunuHp�,Mi �.� .,..� APPLICATION TO TI� PLA►NNING CONIlVIISSION Type of Application: Special Permit Variance Other_ ��,,� �- ����_ Project Address: Assessor's Parcel Number(s): C7 � � — �3 �3 � — �� �3 C� ��_ PLANNENG DEPT. APPLICANT PROPERTY OWNER Name:���'t�`� � �` r'� I mu n n Name: �� 1� A� IU i� �� I 1) �� Address: J � � c� SS� ��4 nn �s �� Address: E '7�S � � U Il? �" �� � City/State/Zip: �� �SF= Cd'� �S/�� City/State/Zip:_�fZLIN�.f�r'ill=. �:r�4 ��6-010 --, Phone (w):_�(f�,� -�� �f - � 7� � �h�: . f�: �`c�.� � � � — iX� � ARCffiTECT/DESIGNER Name: �C7 �� �T �% � % d=- � t1'� A� ►v � Address: � (v`� �.�Se. ��c m �=� � ^ City/State/Zip: �'-c � z �S � : �i �i5/ J- � Phone (w):� t� �-�-d ` 17� n Phone (w): (�): �i'lS —�q 7 �- 3 �!- ��I- fax: Please indicate with an asterisk * the contact person for this application. �) � fax: �Q�Y ��S—/I�( 9 PROJECT DESCRIPTION: �4 D Q e n c� ,� o� � 3`� S p, (7 F� l V i�G, S,�/� G� �. ti� S f��, � S�7`,,E� 12 �S (�t�CE , AFFIDAVIT/SIGNATURE: I hereby certify under penalty of perjury that the information given herein is true and conect to the best of my owledge and belief. � � "�- �6 Applicant's Signature Date I know about the proposed application and hereby authorize the above applicant to submit this application to the Planning Commission. � �� �� � Property ner's Signature Date ----------------------------------------------FOR OFFICE USE ONLY -------------------------------------•----� Date Filed:_ `� � � ��' ��O Fee: �i I � ` Planning Commission: Study Date: Action Date: � � ��o ��-�..� , , .- ,, y � � ��� .�.,.� . �'�� � " �`� '�� �� - � �-- t�/ � '--�- ���J � � � �.,� ��- S ,�, ,�. , .+. ..� �,; : , . �:��; . ,�,., ,. R : _ Y ii . . .. ,. . .. �. �. ..� ._ e�?rl( �, 1�.71/::\ .r � , 1.. . . . . . i . � . � .� ,: �.. � . . . _"1 �:.r:F` `�'�