HomeMy WebLinkAboutRIDGEWOOD HILLS RESIDENCES (4TH FILING) - PDP - 33-10 - LEGAL DOCS - LEGAL DOCUMENTSCity Of Community Development & Neighborhood Services
Fort Collins 281 N College Ave. P.O. Box 580
Port Collins, CO 80526
�.../ Phone 970-416-6-2740 Fax 970-224-6134
CERTIFICATION OF MINERAL ESTATE OWNER NOTIFICATION
PROJECT NAME:MU-6, 1 B0127M 1-IL4W61
CITY OF FORT COLLINS FILE NUMBER: 33 - ►O
❑ The undersigned does hereby certify that the developer/applicant for the above
named Application for Development in the City of Fort Collins has provided
notice as required pursuant to Section 24-65.5-103 of the Colorado Revised
Statutes to any owner or lessee of a mineral estate underneath a surface estate
that is subject to the Application for Development, or that the developer/applicant
has obtained a waiver of the right to notice from any such mineral estate owner.
❑ If a waiver has been obtained, a copy thereof must be attached to this certificate.
Indicate by checking the box if attaching a copy of the waiver signed by all
mineral estate owners.
Indicate by checking the box if the undersigned certifies that the mineral estate
has not been severed from the surface estate for the above named Application
for nevelopment"f}te rt h� o� ieicr o� a vein or lode IV exracF arid- remove are
was rese vec� in 44Ac. U.ni�ed4�afVJ4�Pa ,c hee dcd cx-eember' ", Ieg1, in poov- etc a+'PugG ?..tdo. All
inVrg madeo.+he-LAnrner Arse s ce en rdarch"1, 2011, ndiCatett e m wd-1 =-L
Applicant's Signature: Date:
I( se d dam
State of Colorado ) ` ' TVt1prL�eFBwdt7Se
County of+l6tga hoe )
A owledg befgre me this day of li �arGl 1 20 1 I by
Witness my hand and official seal
Notary Public SHANNON MORAN
My commission expires: /;2 ` 41�3 NOTARY PUBLIC
STATE OF COLORADO
MY COMMISSION EXPIRES 12-04-13