PERMISSION FORM The undersigned Landowner is interested in having my/our/its property included in the visual impact assessment being conducted by EBI Consulting (“EBI”) and hereby gives permission to EBI to enter onto this property on the terms set forth on EBI’s website. The Landowner understands that EBI will not be able to offer a specific time of day when we will be on the property and that the Landowner does not need to be present when the photographs are taken. EBI will not take photographs from any locations on this property other than from the exterior of any existing principal structure and EBI’s entry onto the property will be done in a way that causes the least disruption as possible. The Landowner understands that, even with this permission, however, if any driveway on this property is blocked by a located gate, EBI will not proceed onto this property. The location of this property is clearly identified by street number but, if not, it can be reached using the following directions: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Individual(s) Landowner: _________________________________ Printed Name:_____________________ Dated:______________________, 2014 _________________________________ Printed Name:_____________________ Dated:______________________, 2014 Entity Landowner: Name of Entity: _________________________________ By:______________________________ Printed Name:_____________________ Its:______________________________ Dated:______________________, 2014 {EP - 01527672 - v1 }