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HomeMy WebLinkAboutC15-153 Eagle County School District Land Use Authorization STATE OF COLORADO DIVISION OF MOTOR VEHICLES r�� t�1Gy Department of Revenue It 174 DRIVER TESTING AND EDUCATION SECTION ' ' Carol Olds,Manager § F /1 BUSINESS LOCATION 1881 Pierce Street/Lakewood,Colorado 303-205-8412 John W.Hickenlooper Governor MAILING ADDRESS Denver,Colorado 80261-0016 Barbara J. 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 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. Eagle County grants permission to Landowner(print) Landowner Representative(print) Eagle County School District for the purposes of CDL Testing Unit name adm• isteri m g the CD •riviny kills test and State inspections. el Ai 4 4 lit I . 14(1(41 I L'-,7 Lando I r Representative(signature) go,one# Date This authorization expires on June 30, 2016 (Date Required) ail