Federal Communications Commission
Washington, D.C. 20554
Approved by OMB
3060-0938 (August 2000)
FCC 319
FOR FCC USE ONLY
 
APPLICATION FOR A LOW POWER FM BROADCAST STATION LICENSE

Read INSTRUCTIONS Before Filling Out Form

FOR COMMISSION USE ONLY
FILE NO.

-
Section I - General Information
1. Legal Name of the Applicant 

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 ID Number
126226
2. Contact Representative (if other than Applicant)

Firm or Company Name

Telephone Number (include area code)

E-Mail Address (if available)

3. Station Location:
City
State
4. Program Test Authority (check one)
Application for license to cover construction permit for LPFM subject to successive license term restrictions (47 C.F.R. Section 73.872(d)). Complete Sections II, III, and VI.
Stations subject to successive license term restrictions are not eligible for the automatic program test provisions of 47 C.F.R. Section 73.1620(a)(5). Such stations may commence program test operaations only upon the receipt of written notification from the Commission.
List construction permit numbers and facility IDs for all facilities involved in the applicant's successive license term authorization.

Permit Number
Facility ID
-
-
-
-
-
-
-
-
Application for license to cover construction permit for LPFM station subject to special operating conditions that restrict program test authority. Complete Sections II, III, and VI.

Applicants with construction permits that include program test authority conditions, other than those that relate to successive license term conditions, may commence program test operations only upon the receipt of written notification from the Commission.

Stations operating pursuant to automatic program test authority.
5. Purpose of Application:
Application for license to cover construction permit for LPFM station. Complete Sections II, III, and VI.
Application for modification of transmission parameters of licensed facility (47 C.F.R. Section 73.875(c)). Complete Sections II, IV, and VI.
Application for modification of hours of operation for licensed facility pursuant to changes in a time-share agreement (47 C.F.R. Section 73.875(e)). Complete Sections II, and V.
Amendment to a pending 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. [Exhibit 1]



Section II - Legal

1. Certification.  Applicant certifies that it has answered each question in this application based on its review of the application instructions and worksheets. Applicant further certifies that where it has made an affirmative certification below, this certification constitutes its representation that the application satisfies each of the pertinent standards and criteria set forth in the application instructions.
Yes No
2. Changed Circumstances. Applicant certifies that, apart from changes already reported, no cause or circumstance has arisen since the grant of the underlying construction permit which would result in any statement or representation contained in the construction permit application now being incorrect.
Yes No

See Explanation in
[Exhibit 2]

3. Anti-Drug Abuse Act Certification. Applicant certifies that neither applicant nor any party to the application is subject to denial of federal benefits pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. Section 862. Yes No
The applicant certifies that the statements in this application are true, complete, and correct to the best of its knowledge and belief, and are made in good faith. The applicant acknowledges that all certifications and attached Exhibits are considered material representations. The applicant hereby waives any claim to the use of any particular frequency as against the regulatory power of the United States because of the previous use of the same, whether by license or otherwise, and requests an authorization in accordance with this application. (See Section 304 of the Communications Act of 1934, as amended.)
Typed or Printed Name of Person Signing
Typed or Printed Title of Person Signing
Signature
Date



Section III

APPLICATION TO COVER A CONSTRUCTION PERMIT.

1. Most recent construction permit file number (starts with the prefix BNPL or BMPL). -
2. Constructed Facility.    The facility was constructed as authorized in the underlying construction permit.
Yes No

See Explanation in
[Exhibit 3]

3. Special Operating Conditions.    The facility was constructed in compliance with all special operating conditions, terms, and obligations described in the construction permit.
Yes No

See Explanation in
[Exhibit 4]

4 Complete Section VI.  



Section IV

APPLICATION TO MODIFY TRANSMISSION PARAMETERS OF LICENSED FACILITY.

1. License file number (starts with the prefix BLL or BMLL).
2. Replacement of antenna. This application is being filed to authorize the replacement of the licensed nondirectional antenna with another nondirectional antenna within 2 meters above or 4 meters below the licensed antenna center of radiation. See 47 C.F.R.Section 73.875(c)(1). Yes No
3. Replacement of transmission line. This application is being filed to authorize a replacement of the transmission line that resulted in a change in licensed transmitter power output, but not effective radiated power. See 47 C.F.R. Section 73.875(c)(2). Yes No
4. Complete Section VI.  


Section V

APPLICATION FOR CHANGE IN HOURS OF OPERATION.

1. Time-share Parties. Provide a list of all stations involved in time-share agreement and the proposed hours of operation for each. Each station must file an application for LPFM broadcast station license (FCC Form 319).
Hours
Call Sign Facility ID Number From To
: AM PM : AM PM
: AM PM : AM PM
: AM PM : AM PM
: AM PM : AM PM
2. Minimum Operating Schedule. The applicant certifies that the combined schedule listed in 1. complies with 47 C.F.R.Section 73.850(b). Yes No




Section VI

ENGINEERING SPECIFICATIONS.

Applicants must list technical specfications accurately. Contradictory data found elsewhere in this application will be disregarded. All items must be completed. The response "on file" is not acceptable.

TECH BOX

1.
Effective Radiated Power: watts
2.
Transmitter Power Output: watts
3. Antenna Data
Manufacturer
Model
Number of Sections
Spacing Between Sections (wavelength)
4. Transmitter Power Output. The applicant certifies that the operating transmitter power output specified in question 2., above, produces the effective radiated power specified in question 1., above. Yes No
See Explanation in

[Exhibit 5]



Exhibits