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<br />• AFFIDAVIT OF INTEREST OWNERS <br />SURFACE ESTATE <br />Application No. <br />Subject Property Cooley Gravel Company, Special Use Permit <br />THE UNDERSIGNED, being first duly sworn, states that to the best of his or her knowledge <br />the attached list is a true and accurate list of the names, addresses, and the <br />corresponding Parcel Identification Number assigned by the Weld County Assessor of the <br />owners of property (the surface estate) within five hundred feet of the property under <br />consideration. This list was compiled from the records of the Weld County Assessor, or <br />an ownership update from a title or abstract company or attorney, derived from such <br />records, or from the records of the Weld county Clerk and Recorder. The list compiled <br />from the records of the Weld County Assessor shall have been assembled within thirty days <br />of the application's submission date. <br />STATE OF COLORADO ) <br />ss. <br />COUNTY OF WELD ) <br /> <br />Th <br />e <br />foregoing instrument was s bscribed and sworn to before me this ~ day of <br />l <br />, <br />~~ Q_~ ('.!`: 1~~ WITNESS my hand and official seal. <br />My Commission Expires: <br />My Commgaen 6tiAd kp 1,t ~99~ <br />Notary Public <br />