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HomeMy WebLinkAboutC14-216 Land Use Authorization . i STATE OF COLORADO DIVISION OF MOTOR VEHICLES Department of Revenue DRIVER TESTING AND EDUCATION SECTION '1 .t r Carol Olds,Manager �3 BUSINESS LOCATION 1881 Pierce Street/Lakewood,Colorado 303-205-8412 John W.Hickenlooper Governor MAILING ADDRESS. Barbara J.Brohi Denver,Colorado 80261-0016 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 Eagle County Landowner(print) is the property owner of the land located at: 3289 Cooley Mesa Rd Gypsum Colorado 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. Eagle County Jill Ryan grants permission to Landowner(print) Landowner Representative(print) Faglk C:nunty Schnnl District for the purposes of CDL Testing Unit name administerin: the CDL dri r g skills test and State inspections. GI 970-328-8605 �' '� Lando r Representativ (signature) Phone# Date This authorization expires on 7/1/2015 • (Date Required) CA