(FOR COMMISSION USE ONLY).. FCC Form310 February 1977UNITE0 STATES OF A M E I I C AFEDERAL COMMUNICATIONS COMMISSIONAPPLICATION FOR AN INTERNATIONAL, EXPERIMENTAL TELEVISION, EXPERIMENTAL FACSIMILE, OR A DEVELOPMENTAL BROADCASTStreet AddressI N S T R U C T I O N S STATION LICENSE I*. Thia form i s t o heuaed in all ceaea when applying f a an Internation-al, Experimental Television, Experimental Facsimile, or a DevelopmentaStateZ I P colic [meo f applicant (See Instruciion D)City1I Name and address of person towhom communicatlons should hc writ, i f different from above.Droadoast &atioa License.Name0. Prepare and file three copies of this form and a l l exhibits. FileStreet Addressthe Federal Communications Commission, Washington, D.C. 20554.ZIP Cod-CityStateC. Number exhibits serially in the space provided in the body of theform and l i s t each exhibit in the space provided on page 3 of this form. Dateeach exhibit.Filenunberate of Grant Call signType of stationLocationD. The name of the applicant m u s t be stated exactly a8it appears onth,construction permit which i s being covered.ConstructionbegunConstructioncgletedE.Information called for by this application which i s already on file witNoc Is the stationnow in satisfactory operatingconditionandready forregular operation? Iftheanswer is NO ,explainyesthe Commission need not he refiled in t h i s application provided (1) the inlormation i s now on file in another application 01 FCCForm filed by o behalf of t h i s applicant; (2) the information i s identified fully by refer-ence t o the file'number (if any), the FCC form number, and the filing d a t of the application or other form containing the information and the page i or paragraph referred to, and (3)after making the reference, the appli-cant states: Nochange s i n c e date of filing. Any such reference wil be considered to incorporate into this epplication all information, con-fidential a otherwise, contained in the application or other form referred to. The incorporated application 01 other f a m will thereafter, in i t s en-tirety, be open t o the public.-TypeNO.MakeStateCountyCityor townStreetand nmberF. T h i s application shall be personally signed by the applicant, i f the applicant i s anindividual; by one of the partners, if the applicant is a partnership; by anofficer, i f the applicant i s a corporation; by a member who i s anofficer, if the applicant i s anunincorporated association; by such duly elected or appointed o f f i c i a l s asmay be competent to do so under t h e laws of the applicable jurisdiction, the applicant is aneligi-ble government entity; o r by the applicant's attorney in case of the applicant's physical disability or o f h i s absence from the United States. The attorney shall, in the event he signs for the applicant, separately set forth the r e s o n why the application i s not signed by the applicant. In addition, i f any matter is stated on the b a s i s of the attorney's belief only (rather than h i s knowledge), he shall separately set forth h i s reasons for believing that such statements are true. G. BE SURE ALL NECESSARY INFORMATION ISFURNISHED AND ALL PARAGRAPH! ARE FULLY ANSWERED. IF ANY PORTIONS OF THE APPLICATION ARE NOT APPLICABLE, SPECIFICALLY SO STATE. DEFECTIVE OR INCOMPLETE APPLICP TIONS MAY BE RETURNED WITHOUT CONSIDERATION.NecessaryCall SignFrequency1/Hoursof operationPower 2/bandwidth (kc)1/Not required of International B r o a d c a s t Sktions.1For amplitudemodulationtelevision(E ),givemawinrmantema inputpowerduringsynchronizingpulses. Ifparticularsarenot W l y describedabove,such asauralandvisualcarrierfrequenciesandpower for televisionandtypeofemission,etc., supp1) thislnformationasExhibitNo.a/Develop~entalstationsusing amplitudemodulationor frequencymodulation,give. For othertypesofemission,givea fW1 descriptionofmethod of dete,rminingpoweras . DescribeinExhibitNo.means whichwillbe used fordeterminingandmaintainingpowerurmodulatedantennainputpower. ExhibitNo. outputof the transmittertothevaluesspecified.12,' SeePart2 oftheCccrmission'sRulesand Regulations.American LegalNet, Inc. www.USCourtForms.comFCC Form 310Pnn-7~~ 5. In what respect, if any, doe5 the apparatus constructed differ from that described in the application for construction permit or in the permit,4. Attach a s Exhibit No.a sketch and dimensions of I antenna system.I 5 .i;requencv monitorbration of the frequency monitor be repeated?Date and timeName of checking agency or method used1.2.II3"IFrequency measured by such agency or methodMonitor reading high or low1. a,THE APPLICANT waives any claim to t h e u s e of any particular frequency or of the ether as against the regulatory power of the United States because of t h e previous u s e of the same, whether by license or otherwise, and requests a station license i n accordance with t h e application. (See Section 304 of t h e Communications Act of 1934.) THE APPLICANT, or the undersigned on t h e applicant's behalf, s t a t e s that h e h a s endeavored to supply full and correct information as to a l l matters which a r e relevant to t h i s application and that h e has done so as to all matters within h i s own knowledge.CERTIFICATIONI certify that the statements in this application a r e true, complete and correct to the b e s t of my knowledge and belief, and are made i n good faith.Signed and dated thisday of919-........................................................................(Name ofApplicant)IfI WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLEBY .....................................................................(Signature) Title .....................................................................American LegalNet, Inc. www.USCourtForms.comFCC Form 310Page 3FCC NOTICE TO INDIVIDUALS REQUIRED BY THE PRIVACY ACTThe solicitation of personal information requested in this application is authorized by the Communications Act of 1934, as amended. The principal purpose(s) for which the information will be used is to determine if the benefit requested is consistent with the public interest. The staff, consisting variously of attorneys, accountants, engineers, and application examiners, will u s e the information to determine whether the application should be granted, denied, dismissed, or designated for hearing. If all the information requested is not provided, the application may be returned without action having been taken upon it or its processing may be delayed w