HomeMy WebLinkAboutPENNY FLATS SUBDIVISION, FIRST REPLAT - PDP & FDP - 21-10 - SUBMITTAL DOCUMENTS - ROUND 1 - LEGAL DOCUMENTS0
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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,
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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:
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