Laserfiche WebLink
APPENDIX B <br />APPLICANT/CERTIF CATION REGARDING NOTICE TO MINERAL ESTATE OWNER <br />I, ?' , submitted an application for land use approval from <br />Park County generally described as: <br />A Rezoning Application <br />An Planned Unit Development <br />A Subdivision Application <br />A Common Plat Amendment <br />An Exemption from Subdivision <br />A Road Vacation <br />A Conditional Use Permit <br />__ A Special Use Permit <br />A Administrative Plat Amendment <br />A Variance <br />I understand that state law, found at CRS 24-65.5-101 through 24-65.5-104, <br />imposes specific legal requirements involving my providing written notice to the <br />mineral estate owner of my application. <br />1 HEREBY CERTIFY that l have complied with the notice requirements imposed <br />upon me by CRS 24-65.5-101 through 24-65.5-104. <br />/"z'? ---- --- <br />S gnature of Applicant <br />Print Name: ????SSL?c? <br />For County Use Only <br />Application Name/Case Number:_