Connecting communities, Not power lines! - Orange County United Against NYRI
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Visual Impact Study Questionnaire
 Please note that at your request your responses and/or photos can be anonymous and won't be published on the web site.
Site name, if any
Owner of the site
Nearest intersection and/or landmark 
Name
Address
City
State
ZIP
Phone
FAX
Email

County

Orange Sullivan Rockland Other:

Approximate distance from proposed power line route

1200 Feet   1200 Feet   Don't Know      Other:

Nature of the site

Home Business Apartment Church Other please specify:
Your site’s location relative to power line

North   South   East   West   Not Sure  Comments:

Can you provide us with a photo of the area adjacent to where the power line would be in order to show how the view will be affected?

Yes   No
Will you allow us to take a photograph of the areas of your property that will be affected by the power line?

Yes   No

In your own words, can you tell us how the proposed power lines would affect your view and/or way of life for you or your family?