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AFFIDAVIT OF ORIGIN <br />for <br />PROPERTY OWNER LIST <br />(zone change & special use) <br />1, Larry M. Reschke hereby affirm that, to the best of my <br />knowledge, the attached list containing 29 names and addresses is a complete list of the <br />owners of properties that are located within 1320 feet (% mile) of any part of the boundary of <br />the property described in Exhibit "A", attached hereto and incorporated herein (attach a copy <br />the legal description or write in space below). I further affirm that the source of said list is the <br />records of the Montrose County Assessor, or an ownership update from a title company, an <br />abstract company, or an attorney derived from such records; and that said list is current <br />within 30 days of the date of submittal of an application for a land use change for the herein <br />described property. <br />Project Engineer <br />signature, <br />September 7, 2010 <br />date <br />Please provide the names on mailing labels, along with a copy of the complete mailing <br />list. <br />Rev 1212005 lynda/inasters/submittal-special use.doc