Form 405

0175-EX-RR-1999 Text Documents

CAMPBELL SCIENTIFIC, INC.

1999-06-03ELS_6113

FCC 405 Approved by OMB |rGC USE ONLY hangi faet 3060—0093 Federal Communications Commission See instructions for Washington, DC 20554 burden statement. APPLICATION FOR RENEWAL OF RADIO STATION LICENSE IN SPECIFIED SERVICES ( 47 CFR Parts 5, 21, 22, 23, 25 and 101) 8}7%%@‘\-“?7 Cell Si & Service Class of Station READ INSTRUCTIONS AND NOTICE ON REVERSE BEFORE COMPLETING 1. Name of Applicant (must be identical with that shown on current authorization) CAMPBELL SCIENTIEIC_TINCGC, __C/O_DAN_ANDERSON Mailing Stteet Address, P. O. Box, City, State and ZIP Code of Applicant 815 WEST_ 1800 _NORTH, LOGAN, UTAH 84321—1784 Internet Addross . (Area Code) Telephone Number 1n¥o@camp1>ellsc1 .com (.ZBSO)d )753-2342 Call Sign or Other FCC Identifier Identify Ruiepart upder which this WAZXKG filing is made: g + 502 (\c'su 2. FEE DATA (Refer to 47 CFR Section 1.1105 or to appropriate Fee Filing Guide for infcrmafin) (a) Fee Type Code (b) Fee Muttiple (c) Fee Due for Fee Type Code in 2(a) FAE 1 $45 3. Application is for renewal of license in exact conformity with the existing license as specified below: (a) File Number (b) Date Issued (c) Call Sign (d) Location 5702—EX—PL—97 May 9, 1997 WAZXKG LOGAN, UTAH {e) Nature of Service (f) Class of Station (g) Expiration Date EXPERIMENITAL XREX May_1.,1999 4. Note any changes which have been made since fh-:Tcst application covering this station was filed (i.e. discontinuance of use of a rrcquoncfi\. gpo of emission, thansmitter, etc.) 5. Items 5@ and Sbl gfly to Part 21 and Part 101 licensees only. 5(a) Has there been removal of equipment or alteration of facilifies so as to render the D station not operational? If "YES", indicate when: D YES NO (b) If this is a Multipoint Distribution Service (MDS) station, is there an ownership interest [Q] ves D No in, control by, affiliation with, or leasing arrangement with a cable television company? 6. Applicant represents that there has been no change in applicant‘s organizafion and no transfer of confrol or changes in the applicant‘s relation to the station of financial responsibility; that the applicant‘s most recent application or report embodying this information, as identified below, is to be considered as a part of this application, and the truth statements therein contained is hereby reaffirmed. Note here any further exceptions not already covered in questions 4 and 5. File Number: 5702—EX—PL—97 Date: May 9, 1997 7. CERTIFICATION #Neither the applicant nor any other party to the application is subject to a denial of Federal benelfits that includes FCC benefits pursuant to Section 5301 of the Anti—Drug Abuse Act of 1988, 21 U.S.C. Section 862, because of a conviction for possession or distribution of a confrolied substance. *#The applicant hereby waives any claim to the use of any parlicular frequency or electromagnelic spectum as against the reqgulatory power of the Unifed States because of the previous use of same, whether by license or otherwise, and requests authorization in accordanee with this application. (See Section 304 of the Communications Act of 1934, as amended.) # The applicant acknowledges that all ststemenis made in this application and aftached exhibits are considered material representaiions, and that all the exhibits are a material part hereof and are incorporated herein as if set out in full in this applieation; undersigned certifies that all statements in this application are true, complete and correct to the best of his/her knowledge and belief and are made in good faith. # Applicant certifies that construction of the station would NOT be an action which is likely to have a significant environmental effect. lon‘ 113091—1.1319. WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (VU.S. CODE, TLE 47, SECTION 312(a)(1)), AND/OR FORFETURE (U.S. CODE, TITLE 47, SECTION 503). Name of Applicant (must correspond with lItem 1) Title of Applicant DAN_ANDERSON APPLICATILONS_ENCINEER SIGNATUV — DATE Wnn[inalouen~—_ Designate appropriate classification: #/23/ 72 [] ingividual [_] Member ot [_] officer & Member of [KX) Authorized Rep. [_] offcial of . Partnership Applicant‘s Association of Corporation En:i\;;mm.n FCC 405 June 1997


Document Created: 2001-08-24 17:02:07
Document Modified: 2001-08-24 17:02:07
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