HomeMy WebLinkAboutTHE ELLIE AT OLD TOWN NORTH - FDP240015 - LEGAL DOCS - Legal Documents Cityof
Community Development&Neighborhood Services
Fort Collins 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 -r- 2h�, qA 01-1 Fame i J(i,-4L
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.
Applicant's Signature: Date:
State of Colorado )
N ) Ss.
County of:j-e )
Ack7Ua.,
wledged before me this ;�( day of 4 j` , 20,A by
6,1 C tvL
Witness my hand and official seal
Notary Public SHELLYANAIR
NOTARY PUBLIC
STATE OF COLORADO
My commission expires: �� �o, 1 NOTARY ID20014008118
MY COMMISSION EXPIRES MAY 13,2026