No preview available
HomeMy WebLinkAboutC09-206 Land Use Authorization for Gypsum Fire at ECOAttachment 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 landowner on this form and submit it to the CDL Compliance Section for approval prior to driver skiil testing. This certification confirms that Eagle Countv Government Landowner (print) Is the property owner of the land located at 3289 Coolev Mesa Road; Gvpsum, CO 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 Eaqle Countv Government Landowner (print) grants permission to Landowner Representative (print) Gvpsum Fire Protection District for the purposes of administering CDL driving skilis test and State inspections. CDL Testing Unit Name _,~~~ 1~~ Landowner Representative (signature) Phone Number This authorization expires on Date (if applicable) For: CDL Compliance Section Date ~ ~ - :.~~ ~~: ~. , TERM 5HEET 1) Repuested hearing date: (First choice) 7/7/2009 (Second choice) 7/14/2009 2) For Countv Manager si~nature: N/A 3) Requesting department: ECO Transit 4) Title: Land Use Authorization allo~ving Gypsum Fire Protection 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 submittin~: 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. ~~ ~ ~ ~~~`~ ~' -} ~~ ;~_ ~~~"~.~ ~£S~,~i'~! t `Y' a~i ~i1~Q~~~~i Ap E-9, FORM By:.__ EagEe County Attarney's Office ~y~ cag-" e County Commission~rs' Office