HomeMy WebLinkAboutLegal - Mineral Rights - 01/06/2025I
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City of ~ort Collins "'---· ___ , --
Co111111u11ity Development & Neighborhood Services
281 N College Ave. P.O. Box 580
Port Collins, CO 80526
Phone 970-416-2740 Fax 970-224-6134
CERTIFICAl'ION OF MINERAL ESTATE OWNER NOTIFICATION
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rRoJEcrNAME: fblesk V,ll~---------
c1Tv OF FORT COLLINS FILE NUMBER: _____________ _
~he undersigned does hereby certify that the developer/applicant fo~'1e above
na1ncd Application for Develop1nent 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 1nineral estate underneath a surface estate
that is subject to the Application for Develop1nent, or that the developer/applicant
has obtained a waiver of the right to notice from any such mineH1l estate owner.
D 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.
D 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.
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Applicant's Signatur~-~R -~--.. Date: _jfp (z_.5
State of Colorado )
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County oflar~t_c )
Ackn~wledged beg.}. me this _G~. day of ~f'IU.iAl'7 , 2075_ by ~ li y _ K _ ffi5QD_ _ __________ _.
Witness my hand and official seal
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My commission cxpircs:Oc±. 7-G I w cG
DEVIN CAMPBELL ROGERS
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20224041332
MY COMMISSION EXPIRES OCTOBER 26, 2026