HomeMy WebLinkAboutLegal - Mineral Rights - 02/26/2025 city Of Community Development&Neighborhood Services
F&t Colli ns 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: Pedersen Toyota Dealership Expansion
CITY OF FORT COLLINS FILE NUMBER: CDR240071
❑ 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: J Date: S
State of Colorado )
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AcknQ�J� f�lmthis Z(o day of F�{ IdAA) 2025 by
Witness my hand and official seal
Satoh B Gowa1%
Notary li�u-b i NOTARY PUBLIC-STATE OFCOLOR4D0
NOTARY ID 20174017324
MY COMMISSION EPI
My commission expires: L�.Z-)•Z5 ------- - 21.-- -