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Please return this to Dale and Ellen Schmidt with any changes: <br /> Site Address: 355 River Run Drive and adjacent to it <br /> Site Owner: La Plata Electric Association <br /> Site Owner Mailing Address: PO Box 2750, Durango, CO 81302 <br /> The following structures are located on or within 200 feet of the affected area (the Schmidt Site): <br /> 1 Power line tower and cables <br /> 2 Easement for power line <br /> 3 <br /> 4 <br /> 5 <br /> The following notes and requirements should be included In the agreement: <br /> 1 LPEA requires no excavation or land disturbance within 15 feet of power line tower <br /> 2 Schmidts agree that no excavation shall be done within 20 feet of power line tower <br /> 3 Schmidts agree to ensure ground access to base of power line tower <br /> 4 <br /> 5 <br /> The following additional information is needed by the property owner before signing the <br /> agreement: (please add as necessary) <br /> 1. <br /> 2. <br /> 3. <br /> 4. <br /> 5. <br /> DATE: <br />