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~~~~~~I~~~I~ ~~~T~T'~I°~` ~C~IIa~IC~-~~~~ <br />LAND USE DEPARTMENT <br />AFFIDAVIT OF ORIGIN <br />for <br />PROPERTY OWNER LIST <br />(zone change & special use) <br />I, //lic/v€e~ L • J~, vv hereby affirm that, to the best of my <br />knowledge, the attached list containing _~* names and addresses is a complete List of <br />the owners of properties that are located within 1320 feet (% mile) of any part of the <br />boundary of the property described in Exhibit "A", attached hereto and incorporated <br />herein (attach a copy the legal description or write in space below). I further affirm that <br />the source of said list is the records of the Montrose County Assessor, or an ownership <br />update from a title company, an abstract company, or an attorney derived from such <br />records; and that said list is current within 30 days of the date of submittal of an <br />application for a Land use change for the herein described property. <br />signature, title <br />(^e <br />/,S- z~1 <br />date <br />* If the property owner list contains more than 20 names, please provide the names, on <br />mailing labels, along with a copy of the complete mailing list. <br />POLtcaZonr&SL:form <br />Phone (970) 249-6688 <br />.~. V in•,n\ 'IAII (.(,VII <br />