HomeMy WebLinkAboutLegal - Mineral Rights - 12/11/2024 ECEIVEmh
City/Of Community Development&Neighborhood Services
F6rt Collins 281 N College Ave. P.O. Box 580
BY: Fort Collins,CO 80526
Phone 970-416-2740 Fax 970-224-6134
CERTIFICATION OF MINERAL ESTATE OWNER NOTIFICATION
PROJECT NAME: _College&Trilby
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.
,ITT Indicate by checking the box if the undersigned certifies that the mineral estate
has not been severed from e urface estate for the above named Application
for Development.
Applicant's Signature: -- Date: /2 // 202Y
State of Colorado )
) ss.
County of D'MV-e ' )
Acknowled ed before me this ( 4-h day of D?_CtM6e y , 20 oX,-i by
{� 01 M
Witness my hand and official seal
idt'A t i I� � PATTY P BLIC
RETT
NOTARYY PUBLIC
STATE OF COLORADO
Notar blic NOTARY ID 20244031232
MY COMMISSION EXPIRES 08/19/2028
My commission expires: (� • aQ