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INVERNESS INNOVATION PARK - ODP - 30-09 - SUBMITTAL DOCUMENTS - ROUND 2 - LEGAL DOCUMENTS
0 M o�rcof t� Collins CERTIFICATION OF MINERAL ESTATE OWNER NOTIFICATION PROJECT NAME: 1V� V'ew"ems I A A O V&�[Dlk- P" �- d V P CITY OF FORT COLLINS FILE NUMBER: ; �o ©- I ❑ 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. The undersigned certifies that the mineral estate has not been severed from the surface estate for t e above named Application for Development. Applicant's Signatur Date: State of Colorado ) ) ss. County of Zm Acknowledged before me this _ /,�� �� day of Q G, 200-�' by 4 M,•. •• 50 .• , • My commission expires: ;QP LINDF��'.,�. O(ARy s F'U13�'� o TF„o u,.a.c•��5 .NSS;0N ESQ\