HomeMy WebLinkAboutZ-6937-C Applicationa t & t
November 7, 2011
AT&T site Name: Baptist Hospital
AT&T Site Number: AR1470
Site Address: 9601 Lile Drive
Type of Installation: Roof Top
Company Name T: 123.456.7890
1234 Street Name, Suite 123 F: 123.456.7891
City Name, ST 12345 6789 www.att.com
The Equivalent Isotropically Radiated Power (EIPR) for this installation is 500 watts or
less. The current FCC rule (reference: Code of Federal Regulation, Title 47 -
Telecommunications, Chapter 1 -Federal Communications Commission, Part 24 -Personal
Communications Services, Subpart E -Broadband PCS, Section 24.232 -Power and
antenna limits). This installation, as designed, meets the FCC requirements.
11'Z 7
enior Manager Real Estate & Construction
Date
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WCF.dca
AFFIDAVIT
03/01110
certify by my signature below that I hereby
authorize act as my agent regarding (lie
�irci�RCS Cnrr�l�tu� e `tsr�?�•c' 1' f the below described property.
Property described as:��
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Signature of Title Holder LV Date
Subscribcd :ind sworn to me a Notary Public on this
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day of
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WCFAm
03/01/10
WIRELESS COMMUNICATION FACILITY (WCF) APPLICATION
WCF CASE FILE NO.. Z- ADDRESS: CI C7
LEGAL DESCRIPTION:
ZONING CLASSIFICATION: CIPA UTTING RESIDENTIAL- YES NO
PROPERTY LOCATED IN FLOODPLAIN DISTRICT: YES ')(- NO
ATTACHED: OR WITH SUPPORT STRUCTURE:
Maximum Setbacks:
Height Front
Setbacks: Setbacks:
Rear Sides Platted Buildine Line
Allowed, WCF Tower
Proposed
Allowed, Equipment Structure
Proposed
J
SECURITY FENCING HEIGHT: IQ FaG
1
C -oz
LIGHTING: YES ✓ NO DOWNSHIELDED:
LANDSCAPE PLAN ATTACHED: ERP INFORMATION ATTACHED: 1
COLLOCATION STATEMENT/AGREEMENT ATTACHED:
ADDITIONAL DEVELOPMENT STANDARD INFORMATION: -F S
d
APPLICANT NAME:
(please print
APPLICANT ADDRESS: t I ❑
APPLICANT PHONE NO.-. ,i"% '�r S 4 t 2 3 FA NO: L5i7 C; } p 12 Z 2
APPLICANT SIGNATURE:
Date Received:
Any information not provided regarding
Easement Clearance: pproved / nied easement or floodway/plain, which impacts the
decision regarding this application is the
Application: p rov 1 nied responsibility of the applicant.
NOTE: OBTAIN A BUILDING PERMIT BEFORE BEGINNING ANY CONSTRUCTION.
SUBMIT COPY OF THIS APPROVED APPLICATION AND ORIGINAL SIGNED SITE PLAN
WITH SUBMITTAL.
COMMENTS.
DATE: l PLANNING OFFICIAL:
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GOODMAN NETWORKS, INC.
City of Little Rock
07-NOV-11
WR 1470 WCF AD]
Total:
$100.00
$100.00
10898
City of Little Rock
Planning and Development
Filing Fees
Datej D , 20 _L
Annexation
$
Board of Adjustment
$
Cond Use Permit/T U P wcr—
$
Final Plat
$
Planned Unit Dev
$
Preliminaiy Plat
$ -
Special Use Permit
$
Rezoning
$ `�
Site Plans
$
Stieet Name Change
Street Name Signs
-
Number at ea
Public Hearing Signs
Number at ea
$
Total
$
File No
Location i 1
Applicant �MA� Z i
By