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AFFIDAVIT OF INTEREST OWNERS
SURFACE ESTATE
Property Legal Description: C Q 33 Co% A of /26- 5'97/' S Z PI,/c/
Sec ,27 � Tu A/ I /2 JVG 65-
Parcel Number O £AL-.LZ-L-_ca Q-o.6_9.
(12 digit number-found on Tax I.D.information,obtainable at the Weld County Assessors Office,or www.caweld.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 are true and correct to the best of my(our) knowledge.
ignta Date Signature Date 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.
' ignature
g - /2- /3
Date
Property Owners Within 500 ft. of Parcel# 096127200069
Account Parcel Owner Mailing Address
R6778478 096127200069 BOULTER DAISY I
R6778479 096127200070 BOULTER DAISY I
R6778478 096127200069 BOULTER MICHAEL J 22019 COUNTY ROAD 54
GREELEY CO 80631
R6778479 096127200070 BOULTER MICHAEL J 22019 COUNTY ROAD 54
GREELEY CO 80631
R3929086 096128000035 DIEHL KAREN D 25847 CR 43
GREELEY CO 80631
R3928586 096128000031 GIBBS DANIEL K 20504 CR 54
GREELEY CO 80634
R3928586 096128000031 GIBBS JANET J
R3926386 096127000037 MOKRAY BERTHA M (1/2
INT)
R3926386 096127000037 MOKRAY STEPHEN E(1/2 25970 CR 43
INT) GREELEY CO 80631
R3929186 096128000036 SCHAFER DON LEE LIVING 25835 CR 43
TRUST GREELEY CO 80631
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
V�Q/3 OO Y13 , 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:
4,4c�
STATE OF C.'c.AC;Cc;4 C;
COUNTY OF
ubscribed and sworn to before me this I :Irday of C.,\(...\CA-X\--- , 20 ), by
Notary Public \,
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 he rescheduled to a later date, and Applicant must re-notify all owners of mineral interests.
KIMBERLY LAW
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID i 20134006100
MY COMMISSION EXPIRES JANUARY 25.2016
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Mineral Ownership Listing By Legal Desc.
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http://www.co.wcld.co.us/apps/assessorlownership/indcx.cfm 10/31/2013
Date 6, /(-/l5
To whom it may concern:
Have no problem with Jim Beauregard
(Beauregard Excavating) continuing using Mike, Daisy Boulter's property at 25724
cr 43 Greeley co 80631. In the same manner as they have been using the property
for the past four years.
/� s
Signature
Date,n - ) (2)/ 3
To whom it may concern:
I /f A-, S o • f Have no problem with Jim Beauregard
(Beauregard Excavating) continuing using Mike, Daisy Boulter's property at 25724
cr 43 Greeley co 80631. In the same manner as they have been using the property
for the past four years.
y
Sign ?X �C[-�%'%-% Q�
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