HomeMy WebLinkAboutIMPALA REDEVELOPMENT - FDP230001 - LEGAL DOCS - PUBLIC NOTICECity of
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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: Impala Redevelopment
CITY OF FORT COLLINS FILE NUMBER: _____________ _
D 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.
0 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.
0 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: -----,,'-/2_,,~~-i'---\---,~~----"--_..,d:J-=--. -----==-----Date: J/.J.-/n
State of Colorado )
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County of Mn yV\f,(J'
A?}nPwl e~ged before me this _Jj_ day of ,~Q;v'Ly,{1{3
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,201l3..by
My commission expires: J/og//lJi
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BARBARA H KING
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 19964000264
MY COMMISSION EXPIRES MARCH 8, 2024