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HomeMy WebLinkAboutC11-210 Land Use Agreement Eagle County School District STATE OF COLORADO MOTOR CARRIER SERVICES DIVISION . Department of Revenue 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 testinp, 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 ______14idli_CoCeh4 7 Landowner (print4 is the property owner of the land located at: 32Y Q /ev 7r ?d Co F/4 2 . Property address This property will be used for the purposes of CDL driver skill testing and access to the testing area will he granted to the CDL Compliance Section for inspection at anytime. eal,(e. 1:0; grants permission to Landowner (print) • Landowner Representative (print) C joco/ 4.)-.Ct// for the purposes of CDL Testing Unit name Lt the CDL driving skills test and State inspections. 0 11 - 0. ;3 (0. DR-1 ind Represei - Phone ' Date this authoritation expires on V .2„9/ (Date. applicable)