HomeMy WebLinkAboutTHE ELLIE AT OLD TOWN NORTH - PDP240002 - LEGAL DOCS -/�F'�ort Collins
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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: �� r-i/,� q� o��c r„�,,�► ��,r-. �.-�
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.
�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.
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Applicant's Signature: � ` Date: ���G ���'�
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State of Colorado )
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Countyof�_�-��t'.��.�-, )
Acknowledged before me this ;�(;r day of 1a�,; ;\ , 20 �`-� by
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U r1 n v C� � ,'vL
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Witness my hand and official seal
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Notary Public
My commission expires: `� � � � � ��v�;;�
SHELLY A NAIR
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 26014008118
MY G�MMI�SI�N FsXPIR�S MAY 13, 2026