HomeMy WebLinkAboutBELLA VIRA FILING 2 - MJA/FDP - FDP140001 - SUBMITTAL DOCUMENTS - ROUND 1 - LEGAL DOCUMENTSFort Collins
Community Development & Neighborhood Services
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: BELLA VIRA - PHASE 2 /////�,,
CITY OF FORT COLLINS FILE NUMBER: E! � `Z2 4 = r
❑ 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 tate for the above named Application
for Development.
Applicant's Signature: Date: 1'
r
State of Colorado )
) ss.
County of Lar'I ec )
Acknowledged before me this ; jL day of 1 mil-' C'f'VY bnE , 20_ by
PLIG� J N tw*s-
Witness my hand and of�al seal
_ n
My commission expires:
5