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HomeMy WebLinkAboutC14-215 Land Use Authorization STATE OF COLORADO MOTOR CARRIER SERVICES DIVISION Department of Revenue i ig 16 1881 Pierce Street, Room 118 .. ;:::: ,' Lakewood, Colorado 80214-1497 ' Of 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 Eagle County Landowner(print) is the property owner of the land located at: 32RP CnolPy Mesa Rd Gypsum CO 81637 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. Fagla County Jill Ryan grants permission to Landowner(print) Landowner Representative(print) ECO Transit for the purposes of CDL Testing Unit name administer' g h CDL d• vin s lls test and State inspections. At/ 970-328-8605 Lando er Representative(si_ ature) Phone# Dat This authorization expires on 7/1/2015 • (Date,if applicable) cIL -2jg-