HomeMy WebLinkAbout851 Burlway Road - Application� � EC IAL
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Date filed / 7� ���
Study meeting
Public hearing
ti�plication to the Planning Commission ����� �� Action
C?ty Council of the City of Burlingame
l. APPLICANT
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CITY OF BURLINGAME
u PLANNi.NG DEPT,
A. Name -.,_ /Cff/d' �C/�> 1���
B. Address /� �-c�> -- ��f�'���> ,�-t'�_
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2. PROPERTY
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A. Address ,� .f j l;[� �.' l,;,�x1
B. Legal Lot
Description: Subdivision
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Block
G. Assessor's parcel number (APN) Zone
D. Existing land use and �improvements /.f��c�� {,-�,�C.;.�; ��,-v!c '%54"i��•NG �
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3. SPECIAL PERNiIT REQUESTED AND PROPOSED IMPROVENIENTS
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�. ITEMS SUBMITTED P7ITH APPLICATION:
,,� Futhorization by property owner; if applicant is not 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 requirements.
,,� 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 application should be
approv�d00
Fee: }�X%Xfor all zoning districts.
Receipt No . �� S C Received by � ��,_c,v� �
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I hereby certify under penalty of perjury that the information given
herein is true ancl correct to the best of my knowledge and belief.
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Signature `� � �,;;r✓ � , — Jf l C
� -� Date / / / �
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