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PLAN�IING APPLICATION
CO�tithtU(�JITY DcVELOP►�EPJi DEPARTMENT—f'l.ATINING DIVISION
501 PRIMROSE ROAD, 2ND FLOOR, BURLINGAME, CA 94010-3991
TEL: 650.558.7250 � FAX: 650.696.3790 � E-MAIL: PLANNINGDEPTna.BURLINGAME.ORG
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IT T ESIGNE APPUCANT7
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BURL�IIINGA E-BUSINESS UCENSE #
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•FOR PROJECT REFUNDS• - Please provide an address to which to all refund checks will be mailed to:
NAME ADDRESS
I HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION GIVEN HEREIN IS TRUE AND CORRECT TO THE BEST OF AAY
KNOWLEDGE AND BE F.
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P L ANTS SIGNAT F IF E NT RO ROP RTY WNER DATE�-r-
I AM AWARE OF T E PROPOSED APPUCATION AND HEREBY AUTHORIZE THE ABOVE APPLICANT TO SUBMIT THIS APPLICATION TO THE
PLANNING Cf�fn11411SSI0N/DIVISION.
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DA E
A!lTHQRt2ATIQN TO REPRODlJCE PLANS
I HEREBY GRANT THE CITY OF BURLINGAME THE AUTHORITY TO REPRODUCE UPON REQUEST AND/OR POST PLANS SUBMITTED WITH THIS
APPLICATION ON THE CITY'S WEBSITE AS PART OF THE PLANNING APPROVAL PROCESS AND WAIVE ANY CLAIMS AGAINST THE CITY ARISING
OUT OF OR RELATED TO SUCH ACTION �V� . (INITIALS OF ARCHITECTIDESIGNERI
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APPLICATION TYPE
❑ ACCESSORY DWELLING UNIT (ADU)
❑ CONDITIONAL USE PERMIT (CUPj
� DESIGN REVIEW (DSR)
❑ HILLS�DE AREA CONSTRUCTION PERMIT
� MINOR MODIFICATION
0 SPECIAL PERMIT (SP)
❑ VARIANCE (VAR) ":� t ` : � � � u`� � �, �` ; D
❑ WIRELESS ' T
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❑ FENCEEXCEPTION j;'`,!`�J „�r; � %Q�;;i r:vCi
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DATE RECENED: . �
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P OJECT ADDRES ASSESSOR'S PARCEL � APN1 ZONING
PROJECTDESCRIPTION ����`C(,��OVI 1uV iiIIV�O� 1��0[:tiI1I��� 1�V1 ��r �I I• IO�' LI�V�n%CAc�- .