HomeMy WebLinkAboutSP-24-001 - Supplemental - 0403 Queen City Park Road (5) 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
Applicant: Champlain Water District
Property Address: 403 Queen City Park Road, South Burlington, VT 05403
List of Abutting Property Owners
Property Owner
Name
Mailing Address Physical Property Address Parcel ID
Green Mountain
Power Corp.
2154 Post Road
Rutland, VT 05701
371 Queen City Park Road,
South Burlington, VT 05403
1430-00303
Southland
Enterprises, Inc.
PO Box 6500
Carlisle, PA 17013
218 Hannaford Drive, South
Burlington, VT 05403
0675-0040.L
Humane Society of
Chittenden County
142 Kindness Court
South Burlington, VT 05403
142 Kindness Ct., South
Burlington, VT 05403
0982-00142
Michael Royer &
Gyllian Rae Svensson
396 Queen City Park Road
So. Burlington, VT 05403
396 Queen City Park Road,
South Burlington, VT 05403
060-2-005-000
Sugartree Properties,
LLC
779 Center Road
Middlesex, VT 05602
388 Queen City Park Road,
South Burlington, VT 05403
060-2-004-000
James Diehl 265 Browns River Road
Essex Jct., VT 05452
378 Queen City Park Road,
South Burlington, VT 05403
060-2-003-000