FCC Form 301 Application for Construction Permit for Commercial Broad

Federal Communications Commission

Washington, D. C. 20554

_{FCC 301}

FOR FCC USE ONLY
FOR COMMISSION USE ONLY FILE NO.

Not Approved by OMB

3060-0027

APPLICATION FOR CONSTRUCTION PERMIT FOR COMMERCIAL BROADCAST STATION

Section I - General Information

Legal Name of the Applicant
Mailing Address
City		State or Country (if foreign address)		ZIP Code
Telephone Number (include area code)		E-Mail Address (if available)
FCC Registration Number	Call Sign		Facility ID Number

₁

Contact Representative (if other than applicant)	Firm or Company Name
Mailing Address
City	State or Country (if foreign address)	ZIP Code
Telephone Number (include area code)	E-Mail Address (if available)

_2.

_3. If this application has been submitted without a fee, indicate reason for fee exemption (see 47 C.F.R. Section 1.1114):

Governmental Entity

4. Application Purpose.

_{New station}

Other

Major Modification of construction permit

New Station with Petition for Rulemaking or

_{Counterproposal to Amend FM Table of}

Minor Modification of construction permit

_Allotments ^{Major Amendment to pending application}

Major Change in licensed facility

_{Minor Change in licensed facility}

Minor Amendment to pending application

a. File number of original construction permit: _N/A

b. Service Type: ^{AM FM TV}

DTV

_{DTS DTV - S}

^{c. DTV Type:} Pre-Transition Post-Transition _Both

_{d. Community of License:}

City

State

e. Facility Type: _{Main Auxiliary}

If an amendment, submit as an Exhibit a listing by Section and Question Number of the portions of the pending application that are being revised.

Exhibit No.

*This is the only page of FCC Form 301 that proposed changes may occur. All of the other pages of the form remain the same (including the burden statement). (Page 23)

Draft