HomeMy WebLinkAbout1842 Hunt Drive - Application�,
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COMMUNITY DEVELOPMFJ�T DEPARTMENT' S09 PRiMRQSE ROAD • Bl1RL1NGAME, CA 94090
p: 65D.558.7250 • f: 650.696.3790 • www.burifngame.org
APPLICATIQN TO THE PLANNING COMMISSfON
Type of application:
O Design Review � Variance O Parcel #: ��s — 3� i'� (7� u
O Conditional Use Permit ❑ Special Permit � Zaning 1 Other.
PROJECT ADDRESS: � �4" 2 �'''T I�✓1
APPLICANT
Name: ���- � �,�'
Address� `$ � Z -�} �v+�ti� � _
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CitylState/Zip: '�i ��\ V�,l pvvv��, � a -��l �
Phane: `�l J — 3d �� v�
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PROPERTY OWNER
Name: '�S1 �vfi✓ �o�,
Address: j �, vl `l-� � \�n-�� � �'
City/State/Zip: lA�� r� P� cj ,� v
Phone: si � J� g —� J�
E-mail: �-�2, �� �O S� �,�1N`�'l � co�-..E-mail: �1-Q. � �oS �� �l�p� 1. �y,-,
ARCHITECTIDESIGNER
Name: 1" �lrC1l/V1�-� (_�1•� ��
Address: � �� �� ��
City/State/Zip: � � (�� � `� J�
Phone: � � S' � _ 1 � �� �L �
E-mail: _ W 1 L� l. CJ�'� �P "�1 �..� Q�.
Burlingame Business License #:__ 32 ��_
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OCT 3 0 7.017
CITY OF BURLINGAME
CQD-PL!'�NN1NG DI�1.
►�utho�ization to RecroducQ Praieat Plans:
I hereby grant the City af Burlingame the authority to reproduce upon request andlor post plans submitted with this
appiication on the Ciry's website as part oi the�lanning approval process and walve any claims against the Clty
arising out of or related to such action. ✓�-- (Initials of Archltect/Qesigner)
PROJECT DESCRIPTION: X�-�� -�� �� � Gy�
AFFIDAViT/SIGNATURE: I hereby ce�ify under enatty o erjury tt�at the inforrnation given herein is true and correct ta the
best of my knowledge and belief.
ApplicanYs signature:, Date• �C t �� 2� � 2
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I am aware of the proposed application and h reby authorize the above applicant to submit this applicatian to the Ptanning
Comrriissian.
Property owner's si�nature: , _ Date: �C--+ �� �C7 I
Date submitted: � � 3 � I �%
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