Application Form

This document pretains to SES-STA-20110107-00023 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:

CTV Television, Inc. 4163326441
4163326339
9 Channel Nine Court [email protected]
Toronto
-
Brian Learoyd

Brian Learoyd (416)-702-1162
CTV Television, Inc (416)-332-6339
9 Channel Nine Court E-Mail: [email protected]
Toronto
Canada M1S -4B5
Same
(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
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
03/01/2011
7. CityBuffalo 8. Latitude
(dd mm ss.s h)
42 53 16.84 N
9. State NY 10. Longitude
(dd mm ss.s h)
78 50 17.06 W
11. Please supply any need attachments.
Attachment 1: FCC Buffalo Letter Attachment 2: FCC Attachment 2 Attachment 3: FCC Attachment 3
12. Description. TV coverage of World Juniors Hockey
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
Brian Learoyd
15. Title of Person Signing
Director of Mobile Engineering
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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Remember - You are not required to respond to a collection of information sponsored by the Federal government, and the government may not conduct or sponsor this collection, unless it displays a currently valid OMB control number or if we fail to provide you with this notice. This collection has been assigned an OMB control number of 3060-0678.


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