Form FCC Form 302-DTV FCC Form 302-DTV Application for Digital Television Broadcast Station Lic

Federal Communications Commission

Washington, D. C. 20554

_{FCC 302-DTV}

FOR FCC USE ONLY
FOR COMMISSION USE ONLY FILE NO.

Not Approved by OMB

3060-0837

APPLICATION FOR DIGITAL TELEVISION BROADCAST STATION LICENSE

Section I - General Information

Legal Name of the Licensee/Permittee
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
Contact Representative (if other than licensee/permittee)		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)

_1.

_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

_4. Facility Information:

Noncommercial Educational Licensee

Other

_a. Commercial

Noncommercial

_b. ^Main

Auxiliary DTV - S

c. Community of License:

_5. Program Test Authority:

City

State

_{Requesting program test authority.}

_{Station operating pursuant to automatic program test authority (47 C.F.R. Section 73.1620(a)(1)).}

*This is the only page of FCC 302-DTV with proposed changes. All other pages of the form remain the same. FCC Form 302-DTV

Draft