Macon County Telecommunications Tower Annual Renewal Permit Application Form (Page 2 of 2) in pdf

Macon County Telecommunications Tower Annual Renewal Permit Application Form Page 2

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If the applicant has previously supplied the Macon County Ordinance Administrator with a copy of its FCC license (or if the applicant is not

an FCC license, with copies of FCC licenses for each wireless provider occupying the facility), that such FCC license remains valid and in

full force and effect________(initial).

Attachments

This application shall not be deemed complete unless accompanied by the following:

A letter indicating the state of condition of wireless telecommunication facilities, this letter must include state of maintenance of the

site to include: signage, fences, stabilization cables, grass/weeds mowed, road to site drivable and debris free site.

$150.00 annual permit renewal fee.

The applicant certifies that all statements, certifications and representations supplied in this annual renewal application are true

and correct and that the person signing this application is duly authorized to execute this application and otherwise to act on the

applicant's behalf with respect thereto.

Dated This____________ day of_____________________ 20 ______________

Signature: __________________________________________________________________

Printed name: ________________________________________________________________

Title: _______________________________________________________________________

All applications and related material should be submitted to:

Macon County Planning Director

Macon County Planning Department

1834 Lakeside Drive

Franklin, North Carolina 28734

828-349-2571

FOR OFFICE USE ONLY

Date/Check Off

Date Renewal Application Received

Annual Renewal Fee Received

Statement of Maintenance Received

Complete Application Received

Date Site Visited and Inspected

Comments from Site Inspection:

APPROVED

DENIED

___________________________________________________________________________________________

Telecommunication Ordinance Administrator

Date

Macon County Telecommunications Tower Annual Renewal Permit Application Form Page 2