HomeMy WebLinkAboutNEC LAKE AND SHIELDS - FDP190008 - SUBMITTAL DOCUMENTS - ROUND 2 - LEGAL NOTICECity of Community Development & Neighborhood Services
Fort
CoLLins 281 N College Ave. P.O. Box 580
Fort Colhns,
26Fax
9702246 134
CERTIFICATION OF MINERAL ESTATE OWNER NOTIFICATION
PROJECT NAME: NEC Lake & Shields
CITY OF FORT COLLINS FILE NUMBER:
______________________________
Li 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.
fl 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
ineral 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 S Date:
_________
State of Colorado )
) ss.
County of LrrQ( )
Acknowledged before me this .S day of , 20 c.
by
4 U
Witness my hand and official seal
V’Vi
(cA
Notary Public
My commission expires: CC3.
MARY RICHLING
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 19914001245
MY COMMISSION EXPIRES OCTOBER 29. 2022