Application Form [pdf]

This document pretains to SES-STA-20031010-01405 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2003101001405_345694

                                                                                                    Approved by OMB
                                                                                                           3060−0678

                               APPLICATION FOR EARTH STATION SPECIAL TEMPORARY AUTHORITY



APPLICANT INFORMATIONEnter a description of this application to identify it on the main menu:
WKRG STA
    1. Applicant

              Name:        Media General Broadcasting of   Phone Number:            804−649−6000
                           South Carolina Holdings, Inc.
              DBA Name:                                    Fax Number:              804−649−6989
              Street:      333 East Franklin Street        E−Mail:


              City:        Richmond                        State:                   VA
              Country:     USA                             Zipcode:                 23219       −
              Attention:   George L. Mahoney




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    2. Contact

                 Name:        Kevin P. Latek                      Phone Number:                       202−776−2000
                 Company:     Dow, Lohnes & Albertson, PLLC       Fax Number:                         202−776−2222
                 Street:      1200 New Hampshire Avenue,          E−Mail:
                              NW
                              Suite 800
                 City:        Washington                          State:                               DC
                 Country:     USA                                 Zipcode:                            20036         −
                 Contact      Esquire                             Relationship:                        Legal Counsel
                 Title:


    3. Reference File Number SESLICINTR200301960
    4a. Is a fee submitted with this application?
        If Yes, complete and attach FCC Form 159.     If No, indicate reason for fee exemption (see 47 C.F.R.Section 1.1114).
        Governmental Entity         Noncommercial educational licensee
        Other(please explain):

    4b. Fee Classification   CGX − Fixed Satellite Transmit/Receive Earth Station
    5. Type Request

        Use Prior to Grant                              Change Station Location                             Other


    6. Requested Use Prior Date
          10/10/2003
    7. CityMobile                                                            8. Latitude
                                                                             (dd mm ss.s h)   0   0   0.0    N


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    9. State   AL                                                              10. Longitude
                                                                               (dd mm ss.s h)     0   0   0.0   W
    11. Please supply any need attachments.
    Attachment 1: Attach. 1                           Attachment 2:                                       Attachment 3:


    12. Description.   (If the complete description does not appear in this box, please go to the end of the form to view it in its entirety.)
        PLEASE SEE ATTACHMENT 1.




    13. By checking Yes, the undersigned certifies that neither applicant nor any other party to the application is               Yes            No
    subject to a denial of Federal benefits that includes FCC benefits pursuant to Section 5301 of the Anti−Drug Act
    of 1988, 21 U.S.C. Section 862, because of a conviction for possession or distribution of a controlled substance.
    See 47 CFR 1.2002(b) for the meaning of "party to the application" for these purposes.


    14. Name of Person Signing                                                 15. Title of Person Signing
      George L. Mahoney                                                          Secretary
               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 AUTHORIZATION
                       (U.S. Code, Title 47, Section 312(a)(1)), AND/OR FORFEITURE (U.S. Code, Title 47, Section 503).




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THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104−13, OCTOBER
1, 1995, 44 U.S.C. SECTION 3507.




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Document Created: 2019-06-12 05:23:03
Document Modified: 2019-06-12 05:23:03

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