HomeMy WebLinkAboutSD-19-03 - Supplemental - 0400 Hinesburg Road (4)CITY OF SOUTH BURLINGTON CERTIFICATE OF SERVICE
I hereby ce �•tify that on this L `J day of ' g , 20� a copy of the foregoing public
notice for Q, -c lop;-( rest [type of application] # 1 -o [application number], was
sent by U.S. mail, postage prepaid to the owners of all properties adjoining the subject property
to development, without regard to any public right-of-way, and including the description of the
property and accompanying information provided by the City of South Burlington. I further
certify that this notification was provided to the following parties in accordance with 24 V.S.A.
§4464(a) and Section 17.06(B) of the South Burlington Land Development Regulations:
List of recipients:
(full names and addresses)
6141(1J01/
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Dated at 6 • dr ," , (town/city], Vermont ,this _(Mday of `^ V�6(4 120 1_C'_.
Printed Name: &h,'''T Udl�ll J
Phone number and email: z k& yJ;J�/ 21 ey1 9 7 C, r,
Signature: L
Date: r �Jti lei
Remit to: City of South Burlington
Departrnent of Platuihig & Zoning
575 Dorset Street
South Budiiigton, VT 05403
South Burlington Sample Certificate of Service Form. Rev. 1-2012