Application Form

This document pretains to SES-STA-20061102-01939 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:

LESEA BROADCASTING CORPORATION 574-291-8200
574-291-9043
61300 S. Ironwood Road [email protected]
South Bend IN
USA 46614 -
Mr Wes Hylton

Elise M. Stubbe (504) 830-4646
Hardy, Carey, Chautin & Balkin, LLP (504) 830-4659
110 Veterans Blvd. E-Mail: [email protected]
Suite 300
Metairie LA
USA 70005 -
Legal Counsel
(If your application is related to an application filed with the Commission, enter either the file number or the IB Submission ID of the related application. Please enter only one.)
3. Reference File Number
SESMODINTR200602962 or Submission ID
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
11/07/2006
7. CitySouth Bend 8. Latitude
(dd mm ss.s h)
41 36 13.0 N
9. State IN 10. Longitude
(dd mm ss.s h)
86 12 52.0 W
11. Please supply any need attachments.
Attachment 1: STA Request Attachment 2: Attachment 3:
12. Description. Request for special temporary authority for 60 days. See attached exhibit for details. Also see modification application SES-MOD-INTR2006-02962 for technical specifications.
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
Peter Sumrall
15. Title of Person Signing
President
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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