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HomeMy WebLinkAboutC09-201 Land Use Authorization for Eagle County School Dist.Attachment A LAND USE AUTHORIZATION The land used for the purposes of driver skill testing not owned by the CDL Testing Unit shall require written permission from the respective landlord or land owner on this form and submit to the CDL Compliance Section for approval prior to driver skill testing. This certification confirms that 4 Landowner ( 'nt) is the property owner of the land located at: 32 ~5 Lo' ali Property address This property will be used for the purposes of CDL driver skill testing and access to the testing area will be granted to the CDL Compliance Section for inspection at any time. 4 /f l.,U G La~r (print) grants permission to Landowner Representative (print) ~~* t ~4~~ J~60~ ~,~ for the purposes of CDL Testing Unit name administering the CDL driving skills test and State inspections. r Landowner Rep esentative (signature) Phone # Date This authorization expires on For: CDL Compliance Section (Date, if applicable) 24 f 1) 2) For County Manager signature: N/A ,~ 3) Requesting department: ECO Transit 4) Title: Land Use Authorization allowing Emile County School District to use property located at 3289 Cooley Mesa Road for CDL testing purposes. To be submitted to Colorado Department of Transportation's CDL Compliance Section. 5) Check one: Consent: X On the Record: 6) Staff submitting: Harry N. Taylor, Director, ECO Transit 7) Purpose: Colorado Department of Transportation's CDL Compliance Section requires written permission (using the attached form) from the landlord or land owner to conduct CDL testing on property not owned by the CDOT CDL Testing Unit. 8) Schedule: Signed form shall be remitted to CDOT immediately. 9) Financial considerations: There are no financial obligations attached to this agreement. c~-~~ ~ ~ ~ ~ w =,~ ~' E~~B ~ 5gv ~ pI , .~ ~/,~•4~• '~d 4-0! b t M~ F f I Y ~.aj( t.~..., '~'. APPROVED AST ORM Qy. , Eagle C my Atto e ' Office i~a~l® Geun#y t~mrfll~~is~~t~' Office