| Items 7(a) and (b) apply to Part 21 licenses only. |
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7(a) Has there been removal of equipment or alteration of facilities as to render the Station not operational?
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 Yes
No
 N/A |
| If YES when: |
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| (b) If this is a Multipoint Distribution Service (MDS) station, is there a ownership interest in control by, affiliation with, or leasing arrangement with a cable television company? |
Yes
No
N/A |
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8. Applicant represents that there has been no change in applicant's organization and that there has been no transfer of control or changes in the applicant's relation to the station, or financial responsibility; that applicants most recent application or report embodying this information, as identified below, is to be considered as a part of this application, and the truth of the statements therein contained is hereby reaffirmed. Note here any further exceptions, not already covered in question 6 or 7.
File Number Date |
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| 9. Would a Commision grant of this application come within 47 CFR 1.1307, such that it may have a significant environmental impact? |
Yes
No
N/A |
| If YES, attach as an Exhibit an Environmental Assessment required by 47 CFR 1.1311: |
| If NO, Explain briefly why not: Receive Only |
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| 10. Certification: The applicant certifies that, in the case of an individual applicant, he or she is not subject to a denial of federal benefits pursuant to section 5301 of Anti-Drug Abuse Act of 1988, 21 U.S.C. 853a, or, in the case of a nonindividual applicant (e.g., corporation, partnership or other unincorporated association), no party to the application is subject to denial of federal benefits pusuant to that section. For the definition of a "party" for these purposes, see 47 CFR 1.2002(b). |
Yes
No |
a. Applicant waives any claim to the use of any particular frequency or of the electromagnetic spectrum as against the regulatory power of the United States because of the previous use of the same, whether by license or otherwise, and requests a station license in accordance with this application. Applicant acknowledges that all attached exhibits are a material part hereof.
b. The undersigned, individually and for the applicant, hereby certifies that the statements made in this application are true, complete and correct to the best of the signer's knowledge and belief, and are made in good faith. |
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