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Dated the 15th day of August, 2016
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Recording Secretary for Planning Commission
Application Review Notification Card
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This is to notify you that the project
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Exhibit D — Adjacent Property Owner Report
Pawnee Waste E&P Landfill USR Application
SOLID WASTE DISPOSAL SITES
AFFIDAVIT OF INTEREST OWNERS
SURFACE ESTATE
Legal Description: E 112 N lAl "4 and HE'/1- of Sec -/-ion 13j TI 0 N, R (ol Ni
of the- (/ PM, Weld CovrHi Colorado.
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 (30) days prior to the date the application is submitted to the
Department of Planning Services.
N-S.AR/rte-dl---
Signature
11
WELD COUNTY COLORADO LAND RECORDS
AFFIDAVIT OF INTERESTED LAND OWNERS
SURFACE ESTATE
3/22/2016
1:55:02 PM
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.
Wfrhit%-ixamda
Signature
3AZ 7/
Date
Property Owners Within 500 ft of Parcel # 029113100013
Account
Parcel
Owner
Mailing Address J
R0223186
028907000005
WEISBROOK ELAINE
R0223186
028907000005
WEISBROOK HAROLD
62618 COUNTY RD 130
BUSHNELL, NE 691282888
R0226486
028918000001
DIETZLER RANCH AND CATTLE CO LLC
3003 E HARMONY RD STE 300
FORT COLLINS, CO 805289627
R0249886
029112000005
WEISBROOK ELAINE
R0249886
029112000005
WEISBROOK HAROLD
62618 COUNTY RD 130
BUSHNELL, NE 691282888
R8940987
029113100013
PAWNEE WASTE LLC
3003 E HARMONY RD STE 300
FORT COLLINS, CO 805289627
R8940657
029113200011
GRASSLAND WATER SOLUTIONS LLC
3003 E HARMONY RD STE 300
FORT COLLINS, CO 805289627
M8944195
029113200011
NGL ENERGY PATERNS
3773 CHERRY CREEK NORTH STE 1000
DENVER , CO 80209
R8940658
029113200012
GRASSLAND WATER SOLUTIONS LLC
3003 E HARMONY RD STE 300
WELD COUNTY COLORADO LAND RECORDS
AFFIDAVIT OF INTERESTED LAND OWNERS
SURFACE ESTATE
3/22/2016
1:55:02 PM
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.
foint& 4444.6/
3/-1006
Property Owners Within 500 ft of Parcel # 029113100013
Signature
Date
Account
Parcel
Owner
Mailing Address
FORT COLLINS, CO 805289627
J
R8940988
029113300014
DIETZLER RANCH AND CATTLE CO LLC
3003 E HARMONY RD STE 300
FT COLLINS, CO 805289627
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