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HomeMy WebLinkAboutPENNY FLATS SUBDIVISION, FIRST REPLAT - PDP & FDP - 21-10 - SUBMITTAL DOCUMENTS - ROUND 1 - LEGAL DOCUMENTS0 • City of �tCollins Community Development & Neighborhood Services 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: `y'J N �. "F� F'G Y �P CITY OF FORT COLLINS FILE NUMBER: r / / / 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„�1 ang t e o ' ersigned certifies that the mineral estate has not been severed from the surface estate :(ate above named Application for Development. 1 Applicant's S State of Colorado ) r MANA,4pf, ) ss. County of ) Date:1�k I b A knowI d ed before me this day of 2010-- by A mia I i MI]NagFr-.. Witness my hand and official seal Public My commission expires: f Y Gq"F''�.,�, .p NoigR` FAT! ' 48LIC y of•.........•� //gC0L&-' v`` ``"ry '4�i�tAiresC�'