HomeMy WebLinkAbout20120769 • FAX TRANSMISSION
Weld County
COLORADO Department of Planning Services
Fax: 970-304-6498
Phone: 970-353-6100, Ext. 3537
To: Date: 3/20/2012
Adolph
Trevino
Fax:284- Pages: 2 with Cover
7980
Phone:
From:
Chris ,o
Gathman C41
Subject:
Mineral
Owner
• Affadavit
COMMENTS:
Adolph,
Please add the case # (USR11-0023) sign the attached affidavit and have it notorized
and bring to tomorrow's hearing. If there are no mineral interests to your knowledge —
please attach or add that statement to the affidavit. If need be you can drop by our
office before the hearing and have it notorized. Let me know if you have any questions.
Chris
CONFIDENTIAL
This facsimile is intended only for the use of the individual or entity to which it is addressed and may contain information that is
privileged.confidential, and exempt from disclosure under applicable law. If the reader of this facsimile is not the intended recipient
nor the employee or agent responsible for delivering the facsimile to the intended recipient, you are hereby notified that any
• dissemination,distribution,or copying of this communication is strictly prohibited. If you have received this communication in error,
please notify us immediately by telephone and return the original message to us at the above address via the U.S. Postal Service.
Thank you.
2t/2-O2 % ( EXF11l31T
Ulf- Z?
• CERTIFICATION
RE: NOTIFICATION OF MINERAL INTEREST OWNERS AND LESSEES
The undersigned Applicant certifies compliance with the provisions of C.R.S. § 24-65.5-
103(1), and in support thereof, states and certifies as follows:
1. That Applicant has provided notice, (a copy of which is attached hereto as
Exhibit "A"), containing the time and place of the initial public hearing on its application
for Case Number USg)/- 0O 23 , the nature of the initial public hearing, the legal
description by section, township and range of the property which is the subject of the
initial public hearing, and the name of the applicant;
2. That said notice was provided thirty (30) days prior to the scheduled
public hearing, that it was provided by certified mail, return receipt requested, or by a
nationally recognized overnight courier;
3. That said Exhibit A includes the list of the names and addresses of the
surface owners, mineral estate owners and lessees of mineral interests to whom the notice
was sent, including those persons who have requested receipt of such notices, pursuant to
C.R.S. § 24-65.5-103(3).
APPLICANT:
STATE OF I -LU
COUNTY OFF
plliV V�St, ,
�^�' / �^
Subscribed and sworn to before me this�1 day of !V art/► l Q ,�' ,ig?AR/.
PUBOCI /OP
tary Public -
OF C0\-OeJ
Note: This Certification must be received by the Weld County Department of Planning
Services prior to or at the initial public hearing- If the Certification is not received by that
time, the hearing will be rescheduled to a later date, and Applicant must re-notify all
owners of mineral interests.
•
Hello