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Date filed �2 I� �7
Study meeting
Public hearing
•plication to the Planning�Commission and Action
ity�Council of the City of Burlingame . ��
. APPLICANT '
A. Name �T�-� DQ�� �t �JIc-�n �
B. Address� �,7 VQh ,(ju2,�,v
City Sa„ �'(at-e o • Z ip °�yyo 3 Telephone 3Y 9- z Z y�
PROPERTY
A. Address /S3o ,�e�lins 12oac� /.�42I�r19a�,,,� - 1�J (,(JCo2�E/z
B. Legal Lot P3 ¢36 3 7 rtrt�� � F`o�
+ � Block q, M,/ls�4/� ZNDtiST�Qt4I P�k a�,r�.s
Description: Subdivision
C. Assessor' s parcel number (APN) p�� - z7a - ��d � Zone ht. - �
D. Existing land use and improvements � �
SPECIAL PERNIT REQUESTED AND PROPOSED IMPROVEMENTS
SA�N�c✓c�t� • DE� r ' lvo �iQo PDs E D �� P2a der� e.t T-S
�
ITEMS SUBMITTED WITH APPLICATION:
Authorization by property owner; if applicant is no� owner, an
authorization must be signed by property owner declaring knowledge
of and agreement to this application. �
Title report showing proof of ownership (except for R-1 & R-2 property).
Environmental Assessment Form and CEQA reguirements. .�
Site plan, drawn to scale, showing all existing and proposed major
improvements, located by dimension from property lines and adjacent
structures. Sidewalks and curbs (if any) on public right-of-way .
should also be shown. Include building elevations, if relevant.
_ Letter of explanation with statement about why agglication should be
approved.
• Fee: � for all zoning districts.
� Receipt No . "�j �:Z� ' Received by � ' � �
. .
I hereby certify under penalty of perjury that the information given
herein is true and correct to the best of my knowledge and belief.
Signature ,� � . � � � Date � �. �- 1 � - 7 9
� t�'� I R O iV tVi E(�! TA L
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BURUH�AMe
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glication for a Planning Department Date Filed �Z ��
termination on the Need for a Project EIR
rm �2, Revised July'1975 � Recommendation
tative, Subject to Revision �'Date Posted
PROJECT
� Name � CEQA File No.
Description_��1y�1�,.�1et� D��� - � •
Type of Permit Required
APPLICANT �
Name Te.� Df}�, D 1-�-TLu�u� " Telephone 3 Y9 - zz�/2
Addres s/� a.� va ,� ,8 u,2 E,�/ S ft�✓ �'11 � T�o
PROPERTY � � .
Owner's Name Telephone
Owner's Address •
Legal Lot °".is ��` A37 �rr�•./ o� ��T-S glock 9 i11,lIs�QRI�- �'�a4s r�� �� PKK k.�; r�.s.
Description : Subdivision APN o� S- � 7 a- t��
Land Area �� Zone rvt - I
EXISTING SITE CONDITIONS • �,, r��.� r� y,,� a..�r r�.� ��
PROPOSED PROJECT S,q..1�/J� L✓r� ,4 -� ��L�
FEE: $25
Receipt No. 'r3�2�� Received by ,
-�-�aS �0 2 I hereby certify under penalty of perjury th he
,�E�RTI vc information given herein is tr.ue and correct to the
best of my•knowledge and belief.
At`eti/3R��ro� n .
. Signature ��.�/ J4J� G��.M. Date t a-�� 7-� i
(AppliCant)
EVALUATION BY CITY_PLANNER
Signature Date
• City Planner . •
DETAILED IKFORMATION ABOUT PROPOSED PROJECT
8. IMPACT OF PROPOSED PROJECT
What are the objectives of this project?
Ta k� o� t Dr-��c�aT�sE.�
What alternatives to this project have been considered? �(Joic,IE �
How much environmental effect will this project have? /�/�,t/F ,,�o
• � .
c1�a..�� � rn '�� eN ✓/ /LoinC.v r S�ar/cE N,� c..a c.t�.�� �✓c G( b Q. .�.. �/Q._
�� �o o Ci L T L/�'t S Gc ✓L 2 t�� Q.. C, o o iE e. d[ . , -
What are the adverse environmental effects which cannot be avoided if
the project is implemented?
N9NE To fJu�2 /��o�../�e�[q� .
� _
What mitigation measures are proposed to reduce these adverse impacts?
No.,�� � r�, o� �.v n �✓1 �s �,
9. PROJECT DETAILS
A. Present land uses, project area:
• Use 1(describe, area SF) � i ql� r ZNDccs rii�AL
Ose 2( " , a ") GtJfF2E !-�oc.csi.{/G cz.c dl o iFlc E
USe 3 ( " " " )
B. Present land uses, areas adjacent to the project:
G� �r /-� r .rN .D u S' 7R- y
•C. Effect on topograph and natural features: �
'. �Vo E FFF_C7 r.t/o ����g � s
D. Effect on trees and vegetation:
if%o _� FF E c T •
0
8
4 •
E. Proposed construction
_ Below grade
. First Floor
Second Floor
Third & above
(Gross floor area, GFA, in square feet, SF)
Ft2sT FLov2
. �
F. Lot coverage (area) (�) .
G�- Floor Area Ratio (FAR) � _
H. Building height � � '�
I.. Proposed materials �
3. Estimated F�ows in Existing In 2 Years In 5 Years
gallons per day �
Water consumption (gpd)
Wastewater from site (gpd) �
K. Estimated people at site
Number of residents
Permanent eraployees a � a�a2 r r,ti �
Visitors, customers, etc. �
to site so o �
� L. Estimated parking required
Autos all day parking .
Autos short term parking
Trucks and service vehicles
M. Estimated vehicle movements
� A.M. peak hour �
P.M. peak hour � �
� _.
7 � .
to site from site
to site from site