HomeMy WebLinkAboutBUCKING HORSE FILING FIVE - MA240135 - LEGAL DOCS - Legal Documents City of Community Development&Neighborhood Services
Fort Collins 281 N College Ave. P.O. Box 580
Fort Collins,CO 80526
Phone 970416-2740 Fax 970-224-6134
CERTIFICATION OF MINERAL ESTATE OWNER NOTIFICATION
PROJECT NAME: -Bucking Horse Filing One
CITY OF FORT COLLINS FILE NUMBER: CDR240055
❑ 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.
N 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: Wo Na - Date: lv z YIL
State of Colorado )
) ss.
County of L.1rnmrr )
Acknowledged before me this 2 9 day of 0CtDbe-,r , 20 Zy by
if?n .01M A w 6U MAnc41ee
Witness NOTARY
and official seal
JENA VICTORIA SMITH
NOTARY PUBLIC
b 1c STATE OF COLORADO
NOTARY ID 20234036020
commissio plres: q-20- 2 4 MY COMMISSION EXPIRES SEPTEMBER 20,2027 ,