HomeMy WebLinkAboutNIX FARM NATURAL RESOURCES FACILITY - FDP - FDP130023 - SUBMITTAL DOCUMENTS - ROUND 1 - LEGAL NOTICECommunity 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: _____________________________________________________________
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 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: ________________________________ Date: __________
State of Colorado )
) ss.
County of _________ )
Acknowledged before me this ______ day of _________________________, 20____ by
________________________________________.
Witness my hand and official seal
_______________________________________
Notary Public
My commission expires: ________________