HomeMy WebLinkAbout20180172.tiffSurrounding Property Owner Affidavit
Affidavit of Interest Owners - Surface Estate
5910 S2/NW4 33 4 62 EXC OG&M
Property Legal Description:
Parcel Number 1 0 4 9. 3 3. 2 _ 0 0. 0 0 3
(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
submitte• wi .r contained within the application are true and correct to the best of my (our) knowledge.
n ure
e 2-4
Date
Signature
Date
Signature Date
SURROUNDING PROPERTY OWNER LIST
SUBJECT PARCEL - 104933200003
Parcel Number
104928100001
104921200005
104932100004
Owner's Name
Equus Farms Inc
Equus Farms Inc
Equus Farms Inc
Owner's Address
555 17th Street, Suite 2400, Denver, CO 80202
555 17th Street, Suite 2400, Denver, CO 80202
555 17th Street, Suite 2400, Denver, CO 80202
Compiled from Weld County Assessor's Website on September 12, 2017 by Doug Dennison
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