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AFFIDAVIT OF INTEREST OWNERS
SURFACE ESTATE
Property Legal Description: Part of NE 1/4 of Sec 2, T3N R 66W
Parcel Number 1 2 1 1 _ C2 _ O _ G O _ CJ 1 4
(12 digit number - found on Tax I.D. information, obtainable at the Weld County Assessors 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 are true and correct to the best of my (our) knowledge.
JJJJ%/
Signature t 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.
eij
Signature
131 /7'
Date
Property Owners Within 500 ft. of Parcel # 121102000014
Account Parcel Owner 1 Mailing Address
R4841986 121102000014 ANADARKO E&P COMPANY I 1099 18TH ST STE 1800
LP DENVER CO 802021918
R4473686 105734000047 AUDREY KITZMAN LIVING II
TRUST
R8060899 121102000017 BARCLAY FARMS LLC 13017 COUNTY ROAD 30
I
PLATTEVILLE CO 806518111
M4842086 121102000014 CONAGRA FOODS C/O BUTTERBALL LLC
PACKAGED FOODS CO INC 501 N OAK FOREST RD
GOLDSBORO NC 275348341
R1422602 105735400002 DCP MIDSTREAM LP ATTN: PROPERTY TAX DEPT
5718 WESTHEIMER RD STE 2000
HOUSTON TX 770575774
R2330203 105736300023 DCP MIDSTREAM LP 3026 4TH AVE
GREELEY CO 806317422
• M0253907 105736300023 FEOLA-JUNG LINDA 18230 COUNTY ROAD 35
PLATTEVILLE CO 806518409
R4841886 121102000013 GRAYNAK AUDRED E
R4841886 121102000013 GRAZNAK CHARLES 205 OLIVE LN
PLATTEVILLE CO 806517500
R4475386 105735000035 r KEYES TERRY 4497 COUNTY ROAD 44
JOHNSTOWN CO 805349176
R4473686 105734000047 ' KITZMAN AUDREY & 15925 COUNTY ROAD 38
_ _ I TRUSTEES OF PLATTEVILLE CO 806518520
R4473686 105734000047 KITZMAN ELMER
TRUSTEES OF
R1422902 105735300005 LORENZ J OLIVER & ELMA FAMILY TRUST
ELIZABETH 15614 COUNTY RD 42
LA SALLE CO 806459204
R3363005 121101100001 LUDWIG FAMILY FARMS 18010 COUNTY ROAD 38
LLC PLATTEVILLE CO 806518410
R4475186 I 105735000030 MILLER DEBORAH S
Account ' Parcel j' Owner t Mailing Address
R4475186 1 105735000030 MILLER RICHARD A 18026 COUNTY ROAD 33
i PLATTEVILLE CO 806518407 !
R4475286 105735000033 NAGEL CONNINE K
R4475286 105735000033 NAGEL DENNIS D 16311 COUNTY ROAD 38
__ _ _ _ PLATTEVILLE CO 806518521
R4475686 105735000040 PANENERGY FIELD ATTN PROPERTY TAX DEPT;
SERVICES INC 5718 WESTHEIMER STE 1900
HOUSTON TX 770575745 i
R3363205 121101300002 ROCKY MOUNTAIN FARMS ; C/O STEVEN G LUDWIG
LLC 17978 COUNTY ROAD 39
PLATTEVILLE CO 806518411
R4473586 105734000046 SALERNO CARMINE 18101 COUNTY ROAD 33
PLATTEVILLE CO 806518408 - J
R3908705 121103100020 WEBBER CLIFFORD 15156 COUNTY ROAD 38
STANLEY PLATTEVILLE CO 806518519
R3908705 121103100020 j WEBBER LORENE
R0361095 105735000045 YOUNG DENNIS W 16063 COUNTY ROAD 38
PLATTEVILLE CO 806518521
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