FCC Form 301-CA Application for Authority to Construct or Make Changes i

Federal Communications Commission

Washington, D.C. 20554

Not Approved by OMB

3060-0932

_FOR

USE

FCC 301-CA ^FCC

ONLY

APPLICATION FOR AUTHORITY TO CONSTRUCT OR MAKE CHANGES IN A CLASS A TELEVISION BROADCAST STATION

FOR COMMISSION USE ONLY FILE NO.

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 Identifier
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)

_1.

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}

Noncommercial Educational Licensee _Other

4.	a.	Service Type:		Analog	DTV	DTV - S
	b.	Community of License:		City		State

_{5. Purpose of Application:}

_{New Station}

Minor Change in licensed facility

_{Major Change in licensed facility Minor Modification of construction permit}

_{Major Modification of construction permit}

Amendment to pending application

_{Digital Flash Cut}

Digital LPTV Companion Channel

_Displacement

Exhibit No.

^{a. File number of original construction permit or pending application:} _{Not applicable}

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

Exhibit No.

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