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HomeMy WebLinkAboutSPRING CREEK FARMS NORTH FOURTH FILING - FDP - FDP140002 - SUBMITTAL DOCUMENTS - ROUND 1 - LEGAL NOTICEFort Collins
Community Dc%elopntent & Neighborhood Services
2S1 N College A%c. P.O. Box 580
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CERTIFICATION OF MINERAL ESTATE OWNER NOTIFICATION
PROJECT NAMF. 5, f �re. A.� i t2c ✓\1� 1-1 t I, l�f
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 am, 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 lrom 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.
1.
© 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. n
r
I/ A A I,(-tinn
Applicant's Signature: Date: t I % I
State of Colorado )
� SC.
County ot�v� )
Acknowledged before the this g day of
Witness my hand and official seals _
Note Public rQJ
R9.Vcommission expires:
2014 by