Application Form

This document pretains to SES-STA-20031202-01763 for Special Temporal Authority on a Satellite Earth Station filing.

Approved by OMB
3060-0678
APPLICATION FOR EARTH STATION SPECIAL TEMPORARY AUTHORITY


APPLICANT INFORMATION

Enter a description of this application to identify it on the main menu:

Station Venture Operations, LP 202-637-4538
202-637-4530
1299 Pennsylvania Ave, N.W. [email protected]
11th Floor
Washington DC
USA 20004 -
F. William LeBeau

James Albro 212-664-7581
National Broadcasting Company 212-790-4709
30 Rockefeller Plaza E-Mail: [email protected]
Room 1122W
New York NY
USA 10112 -
Dir. of Trans. Systems Eng. Engineer
3. Reference File Number SESLICINTR200302429
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
12/03/2003
7. CityClearwater 8. Latitude
(dd mm ss.s h)
27 53 16.0 N
9. State FL 10. Longitude
(dd mm ss.s h)
82 41 33.0 W
11. Please supply any need attachments.
Attachment 1: Attachment 2: Attachment 3:
12. Description. Temporary operation to allow SNG truck checkout at Frontline Communications, 12770 44th Street North, Clearwater, FL 33762.
13. By checking Yes, the undersigned certifies that neither applicant nor any other party to the application is 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. Yes No
14. Name of Person Signing
James Albro
15. Title of Person Signing
Assist Secretary to Sole General Partner
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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