HomeMy WebLinkAboutSD-19-08 - Supplemental - 1680 Shelburne Road (23) South Burlington Sample Certificate of Service Form. Rev. 1-2012
CITY OF SOUTH BURLINGTON CERTIFICATE OF SERVICE
I hereby certify that on this ______ day of ________, 20___, a copy of the foregoing public
notice for _________________[type of application] #___________ [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)
Dated at __________[town/city], Vermont, this _________ day of ___________, 20_____.
Printed Name: _______________________________________________
Phone number and email: _______________________________________________
Signature: _______________________________________________
Date: _______________________________________________
Remit to: City of South Burlington
Department of Planning & Zoning
575 Dorset Street
South Burlington, VT 05403
8th March 19
Sketch Plan SD-19-08
MDT Partnership, LLP
1650 Shelburne Rd., South Burlington, VT 05403
Chase, Thomas 38 Chase Ln., Colchester, VT 05446
Stonehenge Investment One Lawson Ln., Burlington, VT 05401
Lark Inns, LP 410 Shelburne Rd., South Burlington, VT 05403
Smart Suites, LLC
410 Shelburne Rd., South Burlington, VT 05403
Oil #2, LLC
1233 Shelburne Rd., D3 Lakewood Commons, South Burlington,
Shearer North, LLC
1675 Shelburne Rd., South Burlington, VT 05403
So. Burlington 8th March 19
Jeffrey Olesky
(802) 598-8081 jeff@ccevt.com
Jeffrey Olesky Digitally signed by Jeffrey Olesky
Date: 2019.03.07 15:33:25 -05'00'
3/8/19