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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