HomeMy WebLinkAboutSP-22-004 - Supplemental - 0510 Shelburne Road (6) South BurlingtonSample 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
15 February 22
Site Plan SP-22-004
Diemer Properties, LLC 14 Bacon Street, Suite 205, S. Burlington VT 05403
EF Farrell, LLC & DB Morrissey, LLCP.O. Box 1335, Burlington, VT 05402-1335
Two O'Briens Properties, LLC 1475 Shelburne Road, S. Burlington, VT 05403
Robert J. Lake P.O. Box 4248, Burlington, VT 05406
507 Properties, LLC 507 Shelburne Street, Burlington, VT 05401
Williston 15 February 22
Lucy Thayer
802.879.6331 lucy.thayer@tcevt.com
Digitally signed by Lucy ThayerDN: cn=Lucy Thayer, c=US, o=TCE, ou=Landscape Architect, email=lucy.thayer@tcevt.comDate: 2022.02.15 11:47:59 -05'00'Lucy Thayer
02/15/22