FCC Form 302-CA Application for Class A Television Broadcast Station Con

Federal Communications Commission

Washington, D. C. 20554

_{FCC 302-CA}

Not Approved by OMB

3060-0928

FOR FCC USE ONLY

APPLICATION FOR CLASS A TELEVISION BROADCAST STATION CONSTRUCTION PERMIT OR LICENSE

Section I - General Information

Legal Name of the Licensee
Mailing Address
City		State or Country (if foreign address)	ZIP Code
Telephone Number (include area code)		E-Mail Address (if available)
FCC Registration Number	Call Sign	Facility Identifier

_1.

FOR COMMISSION USE ONLY FILE NO.

Contact Representative (if other than licensee)	Firm or Company Name
Mailing Address
City	State or Country (if foreign address)	ZIP Code
Telephone Number (include area code)	E-Mail Address (if available)

_2.

_{3. If this application has been submitted without a fee, indicate reason for fee exemption (see 47 C.F.R. Section 1.1114):}

Governmental Entity Noncommercial Educational

_Licensee

Other

^4. _{Community of License:}

City

State

_5. Purpose of Application:

Convert licensed LPTV facilities to Class A facilities (list LPTV file number):

_{File No.}

Convert authorized LPTV construction permit facilities to Class A facilities (list

_{L PTV construction permit file number):}

File No.

Cover displacement application for construction permit for Class A facilities (list date of filing):

Date

License to cover construction permit for Class A facilities (list underlying construction permit file number): Channel Sharing Facility

File No.

Amend a pending Class A license application.

If an amendment, submit as an Exhibit a listing by Section and Question

Number the portions of the pending application that are being revised.

*This page is the only page of FCC Form 302-CA that proposed changes may occur. All of the other pages of the form remain the same (including the burden statement).

Exhibit No.

1

FCC 302-CA

Draft