HomeMy WebLinkAboutLegal - Mineral Rights - 12/03/2024 City Of 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: SWC Drake/College
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 s rface estate for the above named Application
for Development. ,
Applicant's Signature: Date: 1-L 2
State of Colorado )
) ss.
County of Uc,-v4 )
Acknowledged before me this 3rd day of QC c1r•,h t,✓ ,20 .2 y by
6har Vitfa41r(,
Witness my har _and. seal
MARLA KAY PERAGALLO
NOTARY PUBLIC-STATE OF COLORADO
ary P C NOTARY ID 20204040114
MY COMMISSION EXPIRES NOY 13, 2029
My commission expires: NW 1) 9-0A9