HomeMy WebLinkAboutPATEROS CREEK - FDP - FDP130034 - 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: P.-4y--ros CA=gs.
CITY OF FORT COLLINS FILE NUMBER: FD P 130034
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 Development.
Applicant's Signature:,IL Date: R.2A, 13
State of Colorado )
) ss.
County of r; )
Acknowledged before me this c)ft day of M4tM 20AI by
PaitDh SW� eaAS
Witness my hand and o eal
Not u'lic MICHELLE ANNROUILLARD
NOTARY PUBLIC
My commission expires: K!:�( STATE OFCOLORADO
—� T— NOTARY ID 20134031600
MY COMMISSION EXPIRES MAY 16, 2017