Application Form For Class A Television Broadcast Station Page 8
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13Federal Communications Commission
Approved by OMB
FOR
Washington, D. C. 20554
3060-0928
FCC
USE
FCC 302-CA
ONLY
APPLICATION FOR CLASS A
TELEVISION BROADCAST STATION
FOR COMMISSION USE ONLY
CONSTRUCTION PERMIT OR LICENSE
FILE NO.
Section I - General Information
1.
Legal Name of the Licensee
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
2.
Contact Representative (if other than licensee)
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)
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
Other ______________
Licensee
4.
City
State
Community of License:
5.
Purpose of Application:
Convert licensed LPTV facilities to Class A facilities (list LPTV file number):
File No.
Convert authorized LPTV construction permit facilities to Class A facilities (list
File No.
LPTV construction permit file number):
Cover displacement application for construction permit for Class A facilities (list
Date
date of filing):
License to cover construction permit for Class A facilities (list underlying
File No.
construction permit file number):
Amend a pending Class A license application.
Exhibit No.
If an amendment, submit as an Exhibit a listing by Section and Question
1
Number the portions of the pending application that are being revised.
FCC 302-CA
June 2002
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