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HomeMy WebLinkAboutC11-209 Land Use Agreement ECO Transit STATE OF COLORADO MOTOR CARRIER SERVICES DIVISION ,�� t,. --- Department of Revenue ixf. N 1881 Pierce Street, Room 118 Lakewood, Colorado 80214 -1497 Phone (303) 205 -5691 FAX (303) 205 -5764 Bill Ritter, Jr Governor Roxanne Huber Executive Director Kirstie Nixon Division Director 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 (,is' /e Cateh Landowner (print is the property owner of the land located at: 321 Cooley /17P-.. •.tug (0'7 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. grants permission to Lan caner (print) Landowner Representative (print) e �0 aoisr / for the purposes of CDL "Testing Unit name administering the CDL driving skills test and State inspections. I lk_ -"IC& I Lando r Represent& siv,nature) Phone r? [)ate l'his a tthoriration expires &tips 3'0 _ /�. (Date, iFapplicable)