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AFFIDAVIT OF INTEREST OWNERS <br />MINERALS AND/OR SUBSURFACE <br />Property Lt::gal Description: ~~}tprt5 h., d 2I a '(21~ ~ R l0>3 W <br />rU <br />Property Legal Parcel Number: tat 321 mo0o02 ~3 i 3 zt o0nno t a IR r~ cr Oho t t 3t~ooo00'] <br />/ <br />13t31b0oDOp~ t 13t3t(PQor70gS <br />STATE OF COLORADO ) <br />ss. <br />COUNTY OF WELD ) <br />THE= UNDERSIGNED, being first duly sworn, states that to the best of his or her knowledge, the <br />attached list is a true and accurate list of the names and address of all mineral owners and lessees of mineral <br />owners on or under the parcel of land which is The subject of the application as their names appear upon the <br />real properly records in the Weld County Clerk and Recorders Office. <br />By: ~i~T47~7Ce~'d` <br />Title: SinrOY Ldr~ 11~enemY <br />The foregoing instrument was subscribed and sworn to me this ~ day of ~ , 20~L <br />WITNESS my hand and official seal. <br />My Commission Expires: D <br />LINDA S. BACH <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />• My Commission Expires 08/77!2004 <br />I N~P~ic ~~ <br />16 <br />