HomeMy WebLinkAboutCHASE BANK @ RIGDEN FARM - FDP - 26-09/A - SUBMITTAL DOCUMENTS - ROUND 1 - LEGAL DOCUMENTSForyt Cy of
Cifmmunily Development & Neighborhood Services
281 N College Ave, P.O. Box 58o
F011 Collins, Co 80526
Phone 970-416-2740 Fax 970-224-61:34
CERTIFICATION OF MINERAL ESTATE OWNER NOTIFICATION
PROJECTNAME4: . Rigden Farm — Tract A
CITY OF FORT COLLINS FILE NUMBER:
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 inineral estate underneath a sutface 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.
0 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.
f Indicate by checking the box if the undersigned certifies that the mineral estate
has not been severed from the surface estate for e above named Application
for Development. ,ff /�//��
Armstr-63P )6eveleb/ment .Pr,. ertias Tnr
Applicant's Signature:
State of e )
) ss.
Comity of
Ackl�owled before this. day of 20� by
ko G�� '
Witness,niy I��ui and official seal
Notary Publfc
My commission expires; COMMONWEALTH OF PENNSYLVANIA
- m1 Seal
Betty J. Davis, Notary Pubic
City Of Pittsburgh, ADgNny County
My Commission E)Vrn--. ,., )ne 7, 2011
Member, Pennsylvania Association of Notaries