HomeMy WebLinkAboutELIZABETH & CITY PARK CORNER REDEVELOPMENT - FDP - FDP120003 - SUBMITTAL DOCUMENTS - ROUND 1 - LEGAL DOCUMENTSCity of ! Community Development & Neighborhood Services
Flirt Collins 281 N College Ave. P.O. Box 580
Fort Collins, CO 80526
Phone 970-416-2740 Fax 970-224-6134
CERTIFICATION OF MINERAL ESTATE OWNER NOTIFICATION
PROJECT NAME: ffl cz abc-M an cl C y ParK Rcdcye/oo rneti�
CITY OF FORT COLLINS FILE NUMBER: PDP) ZOOOP7
❑ 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 e surface estate for the above named Application
for Development. /
Applicant's Signature: D/� Date:
State of Colorado )
ss.
County of
Acknowledged before me this 70V` day of J e
Witness my hand and official seal
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14Ary Public
My Commission Expires
My commission expires: 02/06/2016
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