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~; <br />~ . y ~ . <br />EXFIIBIT C <br />AFFIDAVIT OF INTEREST OWNERS <br />SURFACE ESTATE <br />' Application No. USR 877 2nd Amendment <br />SubjectP operty C&M Aggregates, Ltd. Part of Section 17, T2N, R68W <br />THE UNDERSIGNED, states that to the best of his or her knowledge the attached list is a Vue and accurate list of <br />' the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor <br />of the oNners of property (the surface estate) within 500 feet of the property being considered. This list was <br />' compiled from the records of the Weld County Assessor, or an ownership update from a fide or abstract company, <br />or an attorney. The list compiled from the records of the Weld County Assessor was assembled within thirty days <br />of the application's submission date. <br />' ,~~~~~Y~~~ <br />Signature <br />' STATE OF COlORA00 ) <br />' ) ss. <br />COUNTY' OF WELD ) <br />1 The foregoing instrument was subscribed and sworn to before me this~`3ay of <br />~) (~/ ,, 199J~. WITNESS my hand and official seal. <br />1 My Commission Expires: Qj-~ ~ j ~99~' <br />' ~P~~-pG <br />JEf.:Y1FE~ qC) <br />1 =~~ ~•~° <br />DDLLc"f'SCrici L; <br />1 ~---...:.. `~~ <br />Oc ..,.. nAp~ <br />,. <br />otary Public <br />1 <br />