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<br />• AFFIDAVIT OF INTEREST OWNERS <br />MINERALS AND/OR SUBSURFACE ESTATE <br />Appllcatlon No. <br />Subject Property Cooled 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 and addresses of all mineral <br />owners and lessees of minerals on or under the parcel of land under as their names appear <br />upon the records in the Weld County Clerk and Recorder's Office or from an ownership <br />update from a title or abstract company or an attorney. <br />STATE OF COLORADO ) <br />• <br />ss. <br />COUNTY OF WELD ) <br />(The`f1o)regoing instrument was~~??s scribed and sworn to before me this day of <br />`-'/ /(~~ ~ ~ lY7~WITNE55 my hand and official seal. <br />My Commission Expires: <br />A ~i <br />A!y Commissmn E~cpires Aup.12, r991 <br />Notary Publi <br />