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LUCERNE CO
PO BOX 126
LARRY ADAMS
GREELEY CO
801 8 ST NO. 220
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LUCERNE CO
PO BOX 29
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CLOASED A3 LLC
GREELEY CO
976 N BALSAM AVE
DONALD HUNGENBERG
LUCERNE CO
WILLIAM LEAFGREN
FT COLLINS CO
5412 VARDEN WAY
LUCERNE COMMONS LLC
CERTIFICATE OF MAILING
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addressed on the attached list this 3rd day of June, 2013.
Dated the 3rd day of June, 2013
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Application Review Notification Card
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This is to notify you that the project listed on the
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LUCERNE CO
PO BOX 126
LARRY ADAMS
GREELEY CO
801 8 ST NO. 220
C/O A BRUCE JOHNSON
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LUCERNE CO
PO BOX 29
19334 HWY 392
CLOASED A3 LLC
GREELEY CO
976 N BALSAM AVE
DONALD HUNGENBERG
LUCERNE CO
WILLIAM LEAFGREN
FT COLLINS CO
5412 VARDEN WAY
LUCERNE COMMONS LLC
CERTIFICATE OF MAILING
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addressed on the attached list this 15th day of April, 2013.
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Dated the 15th day of Ap
Recording Secretary for Planning Commission
AFFIDAVIT OF INTEREST OWNERS
SURFACE ESTATE
Property Legal Description: gra x /c2 - wet/ i A
-c-Cgd> / - -7-742/v4 41/ - 5- DI
/��S /4953s S
Z--- CAE -6e
Parcel Number d 8 Q 3- 3- Oy- 0 O
(12 digit number - found on Tax I D information, obtainable at the Weld County Assessor's Office, or www.co.weld.co. us)
(Include all lots being included in the application area. If additional space is required, attach an additional sheet)
THE UNDERSIGNED, being first duly sworn, states that to the best of his or her knowledge the attached
list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number
assigned by the Weld County Assessor of the owners' of property (the surface estate) within five hundred (500)
feet of the property being considered. This list was compiled from the records of the Weld County Assessor, or a
person qualified to do the task, and shall be current as of a date no more than thirty days prior to the date the
application is submitted to the Department of Planning Services.
Signatures of all fee owners of property must sign this application. If an Authorized Agent signs, a letter of
authorization from all fee owners must be included with the application. If a corporation is the fee owner, notarized
evidence must be included indicating the signatory has the legal authority to sign for the corporation.
I (We) hereby depose and state under the penalties of perjury that all statements, proposals and/or plans
submitted with or contained within the application e true and correct to the best of my (our) knowledge
ignatu e
Signature Date
-5-
WELD COUNTY COLORADO LAND RECORDS
AFFIDAVIT OF INTERESTED LAND OWNERS
SURFACE ESTATE
THE UNDERSIGNED, States that to the best of his or her knowledge the attached list is a true and accurate list of
the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor
of the owners of the property (the surface estate) within 500 feet of the property being considered. This list was
compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site,
http://www.co.weld.co.us, and has not been modified from the original. The list compiled for the records of the Weld
County Assessor was assembled within thirty days of the applications submission date.,, 2,
Property Owners Within 500 ft. of Parcel # 080317300009
Accost 4,
cel
FrOwner
Mailing Address
R0358395
080320000049
ADAMS KAYEDEANE
R0358395
080320000049
ADAMS LARRY A
P O BOX 126
LUCERNE CO 80646
R6783068
080317400010
BOLET CO
CIO A BRUCE JOHNSON
801 8 ST No. 220
GREELEY CO 80631
R6783069
080317400011
C/O A BRUCE JOHNSON
801 8 ST No. 220
GREELEY CO 80631
BOLET CO
R0358495
080320000050
CLOSED A3 LLC
19334 HIGHWAY 392
PO BOX 29
LUCERNE CO 80646
R1265086
080320000023
HUNGENBERG BEATRICE L
(1/2 INT)
R1265086
080320000023
HUNGENBERG DONALD E
(1/2 INT)
976 N BALSAM AVE
GREELEY CO 80631
R1256286
080317000025
LBRC LEAFGREN LLC (1/3
INT)
R1256286
080317000025
LEAFGREN HARRIET J (1/3)
R1256286
080317000025
LEAFGREN WILLIAM G (1/3)
PO BOX 6
LUCERNE CO 80646
R6780046
080317300042
LUCERNE COMMONS LLC
5412 VARDEN WAY
FORT COLLINS CO 80528
R6780047
080317300043
LUCERNE COMMONS LLC
5412 VARDEN WAY
FORT COLLINS CO 80528
R6783067
080317300009
SHUPE FARMS LLC
1312 N 7 AVE
GREELEY CO 80631
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