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HomeMy WebLinkAboutSD-23-04 - Supplemental - 1185 1195 Shelburne Road (3) South Burlington Sample Certificate of Service Form. Rev. 3-2022 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 180 Market Street South Burlington, VT 05403 Please see attached list. NAME 1 NAME 2 MAILING ADDRESS 1 ING ADDR CITY STATE ZIP JOHN LARKIN INC.410 SHELBURNE ROAD S BURLINGTON VT 05403 L & M PARTNERSHIP C/O MERRILL JARVIS 105 APPLETREE POINT RD BURLINGTON VT 05408 SOUTHLAND ENTERPRISES INC HANNAFORD BROS CO P O BOX 1000 PORTLAND ME 04100 FARRELL DISTRIBUTING CORPORATION 5 HOLMES RD S BURLINGTON VT 05403 LOWE'S HOME CENTERS 1000 LOWE'S BLVD MOORESVILLE NC 28117 HANNAFORD BROTHERS PO BOX 1000 PORTLAND ME 4104 KAPSHA PROPERTIES LLC 1095 SHELBURNE RD S BURLINGTON VT 05403 JOLLEY ASSOCIATES LLC 54 LOWER WELDON ST ST ALBANS VT 05478 SPILLANE LOWELL T TRUST C/O ENTERPRISE HOLDINGS 11 NORTHWAY LANE NORTH LATHAM NY 12110-2204 CRE JV MIXED FIFTEEN NE BRANCH HOLDINGS C/O RYAN P O BOX 460049 HOUSTON TX 77056 SPILLANE, LOWELL T & SHELLEY C C/O NORTHFIELD S B ATTN ED SULVA PO BOX 7180 BARRE VT 05641-7180 LARKIN MILOT PARTNERSHIP C/O MCDONALDS P O BOX 447 ESSEX JCT VT 05453 GRANDVIEW FARMS INC P O BOX 1304 BURLINGTON VT 05402 1185 LLC 410 SHELBURNE ROAD SOUTH BURLINGTON VT 05403 FARRELL, DAVID M TRUSTEE 5 HOLMES RD S BURLINGTON VT 05403 WILSON, WILLIAM C/O CHAMPLAIN HOUSING TRUST 88 KING ST BURLINGTON VT 5401 SISTERS & BROTHERS INVESTMENT GROUP LLC 75 S WINOOSKI AVE BURLINGTON VT 05401 1220 SHELBURNE RD CORP C/O ROBERT & ANN GRISWOLD 1512 LAKE RD MILTON VT 05468 TWO O'BRIENS PROPERTIES LLC 1475 SHELBURNE RD S BURLINGTON VT 05403 FRATERNAL ORDER OF EAGLES INC 1233 SHELBURNE RD SUITE B1 SO BURLINGTON VT 05403 1233 SHELBURNE RD LLC 1233 SHELBURNE RD UNIT C2A SOUTH BURLINGTON VT 05403 1233 SHELBURNE RD LLC 1233 SHELBURNE RD SUITE C2A S BURLINGTON VT 05403 ROCK DUNDER PROPERTIES LLC 1223 SHELBURNE RD #C5 S BURLINGTON VT 05403 R & R HOLDINGS 6 LLC 1233 SHELBURNE RD #D-3 S BURLINGTON VT 5403 ADAMS, JOHN S & SUZANNE N 126 WHITE WATER CIRCLE WILLISTON VT 05495 GREEN & COIL LLC 78 CURTIS AVE BURLINGTON VT 05401 SOPHER FAMILY LLC 1233D SHELBURNE RD STE D 6B S BURLINGTON VT 05403 SOPHER FAMILY LLC 800 CROSSWIND RD CHARLOTTE VT 05445 ARROW TECH ASSOC INC C/O ROBERT H WHYTE 1233 SHELBURNE RD STE D7 S BURLINGTON VT 05403 G & K HOLDINGS LLC 1233 SHELBURNE RD UNIT E-1 S BURLINGTON VT 05403 SOARING HAWK LLC 270 SOARING HAWK LN CHARLOTTE VT 05445 SOARING HAWK LLC 270 SOARING HAWK LN CHARLOTTE VT 05445 SOARING HAWK LLC 270 SOARING HAWK LN CHARLOTTE VT 05445 MCLENITHAN, GREGORY A & CAROLE A 1233 SHELBURNE RD SUITE E5 S BURLINGTON VT 05403 EASTMAN, MARGARET S TRUST 1163 THOMPSONS POINT RD CHARLOTTE VT 05445 05402 05404 05445 05404 BURLINGTON WINOOSKI CHARLOTTE WINOOSKI VT VT VT VT OLDE ORCHARD REALTY PARTNERSHIP LP ALLEN, STEPHEN D & ANITA B SOPHER FAMILY LLC ALLEN, STEPHEN D & ANITA B PO BOX 4193 87 E SPRING ST 800 CROSSWIND RD 87 E SPRING ST 1185 Shelburne Road Adjoining Landowners