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HomeMy WebLinkAboutC13-166 Land Use Authorization CDLSTATE OF COLORADO DIVISION OF MOTOR VEHICLES Department of Revenue DRIVER TESTING AND EDUCATION SECTION Carol Olds, Manager BUSINESS LOCATION 1881 Pierce Street /Lakewood, Colorado 303 - 205 -8412 MAILING ADDRESS Denver, Colorado 80261 -0016 John W. Hickenlooper Governor Barbara J. Brohl Executive Director Mike Dixon Senior MV 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 l0 (( V�) Landowne is the property owner of the land located at: 3z � S 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. L u / CC a 4 / ,/ " grants permission to Lan weer (print) Landowner Representative (print) &6 1e - J' for the purposes of CDL Testing Unit name skills test and State inspections. (signature) Phone # expires on 144A L 3 ,? 2n d (Date Required) ate