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<br />AFFIDPVIT OF INTEREST OIINERS <br />!!INERALS AND/OR SUBSURFACE <br />Application No <br /> <br />SubJect Property Distel Farm T2N, R66W, Sections 8, 17, Weld County, Colorado <br />STATE OF COLORA[iO ) <br />ss. <br />COUNTY OF MELD ) <br />THE UNDEP.S:t6NED. being first duly sworn. states that to the best of his <br />or her knowledge the attached list is a true and accurate list of the names <br />and addresses of all nineral owners and lessees of elneral owners on or under <br />the parcel of land which 1s the subject of the appllcatton as their names <br />aDDear upon the records In the Meld County Clerk and Recorder's Office, or . <br />from an ownership update from a title or abstract company or an attorney. <br />The foregoing instrument was subscribed and sworn to before mew <br />this ,~_ day of \,~~ c~.,`c~ ~ 19gg By °~~, .__ ~- <br />~- <br />MITNESS ny hand and official seal. ~~~`?`,.~:~~•"~••.,~,;'~"• <br />~lY Commission expires: 9 °~-90 ~• s'~~= <br />~ s:,~ <br />.i Lt .Y ~ . 4l ,_ <br />i ~~ i, ~ ~y <br />Notary <br /> <br />