| Section | Question | Response |
|---|---|---|
| Attachments | Are attachments (other than associated schedules) being filed with this application? | Yes |
| Applicant | Address | Phone | Applicant Type | |
|---|---|---|---|---|
|
BAKER TV TAX DISTRICT Doing Business As: BAKER TV TAX DISTRICT |
Chuck Lee PO Box 503 BAKER, MT 59313 United States |
+1 (406) 978-3911 | cj59801@gmail.com | Government Entity |
| Contact Name | Address | Phone | Contact Type | |
|---|---|---|---|---|
|
CHARLIE Cannaliato CONSULTING ENGINEER Canyon TV |
200 EVANS AVENUE MISSOULA, MT 59801 United States |
+1 (406) 728-7693 | CHARLIE@MONTANA.COM | Technical Representative |
|
Chuck Lee FALLON COUNTY |
Fallon County Offices Baker, MT 59313 United States |
+1 (406) 778-7108 | cj59801@gmail.com | Legal Representative |
| Section | Question | Response |
|---|---|---|
| General Certification Statements | The Applicant waives any claim to the use of any particular frequency or of the electromagnetic spectrum as against the regulatory power of the United States because of the previous use of the same, whether by authorization or otherwise, and requests an Authorization in accordance with this application (See Section 304 of the Communications Act of 1934, as amended.). | |
| The Applicant certifies that neither the Applicant nor any other party to the application is subject to a denial of Federal benefits pursuant to §5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. §862, because of a conviction for possession or distribution of a controlled substance. This certification does not apply to applications filed in services exempted under §1.2002(c) of the rules, 47 CFR . See §1.2002(b) of the rules, 47 CFR §1.2002(b), for the definition of "party to the application" as used in this certification §1.2002(c). The Applicant certifies that all statements made in this application and in the exhibits, attachments, or documents incorporated by reference are material, are part of this application, and are true, complete, correct, and made in good faith. | ||
| Authorized Party to Sign | FAILURE TO SIGN THIS APPLICATION MAY RESULT IN DISMISSAL OF THE APPLICATION AND FORFEITURE OF ANY FEES PAID Upon grant of this application, the Authorization Holder may be subject to certain construction or coverage requirements. Failure to meet the construction or coverage requirements will result in automatic cancellation of the Authorization. Consult appropriate FCC regulations to determine the construction or coverage requirements that apply to the type of Authorization requested in this application. WILLFUL FALSE STATEMENTS MADE ON THIS FORM OR ANY ATTACHMENTS ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. Code, Title 18, §1001) AND/OR REVOCATION OF ANY STATION AUTHORIZATION (U.S. Code, Title 47, §312(a)(1)), AND/OR FORFEITURE (U.S. Code, Title 47, §503). |
|
| I certify that this application includes all required and relevant attachments. | Yes | |
| I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above. | Charlie Cannaliato Consulting Engineer 11/08/2021 |
| File Name | Uploaded By | Attachment Type | Description |
|---|---|---|---|
| Dismissal Request for K04IH-D.pdf | Applicant | All Purpose | Reason for withdrawal of application |
