HomeMy WebLinkAboutTAPESTRY - FDP240016 - LEGAL DOCS - Legal Documents City of Community Development&Neighborhood services
Flirt 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: '#��"TFy 4O7-P
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.
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: 1I I Z 2(ZZLJ
State of Colorado
) ss.
County of (-0low )
Acknowledged before me this 12 day of IvOJ f,� , 20M by
Lan&6 1 Do
ess my hand and official seal JILLIAN MARIE WALL �T I
�,/� NOTARY PUBLIC M
STATE OF COLORADO
- NOTARY ID 20224010267
o ary Public MY COMMISSI®N EXOINSS MARCH 14 2026
My commission expires: rk I q,?D70