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TOWN OF FIRESTONE CERTIFICATION OF NOTICE TO MINERAL ESTATE OWNERS (Pursuant to C.R.S. Section 2465.5101 et seq.) Name of Development Application: Applicants Name: Planning Commission Hearing Date:
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Review the instructions: Before starting to fill out exhibit w - certification, carefully read the instructions provided. This will ensure that you understand the purpose and requirements of this document.
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Complete personal information: Begin by providing your personal information, such as your full name, address, contact information, and any other details required in the designated fields. Ensure accuracy and double-check for any typos or mistakes.
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Indicate the purpose of the certification: In this section, specify the purpose for which the exhibit w - certification is being submitted. Provide a clear and concise description, as this information helps the recipient understand the context.
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Sign and date the certification: Carefully read through the certification statement provided in the exhibit w - certification form. If you agree with the statement and believe it accurately reflects the information being presented, sign and date the document accordingly in the designated fields.
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Include any necessary attachments: If there are any supporting documents or evidence required to accompany the exhibit w - certification, ensure that they are properly attached and referenced. These attachments should be relevant and contribute to the purpose of the certification.

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Individuals submitting legal documents: Exhibit w - certification may be required by individuals who are submitting legal documents, such as contracts, affidavits, or other legal forms. This certification adds authenticity and credibility to the document being submitted.
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Exhibit w - certification is a form that certifies the accuracy and completeness of certain information filed with the authorities.
Entities or individuals required to file certain documents with the authorities are typically required to also file exhibit w - certification.
Exhibit w - certification should be filled out by providing accurate and complete information as required by the authorities.
The purpose of exhibit w - certification is to ensure the integrity of the information filed with the authorities.
Exhibit w - certification typically requires information on the accuracy and completeness of certain documents filed with the authorities.
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