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1. | Legal Name of the Applicant SARKES TARZIAN, INC. |
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Mailing Address PO BOX 62 |
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City BLOOMINGTON |
State or Country (if foreign address) IN |
Zip Code 47402 - |
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Telephone Number (include area code) 8123327251 |
E-Mail Address (if available) |
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FCC Registration No 0002900330 |
Call Sign WGCL |
Facility ID Number 59131 |
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2. | Contact Representative (if other than licensee/permittee) BRIAN M. MADDEN |
Firm or Company Name LERMAN SENTER PLLC |
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Mailing Address 2000 K STREET, NW SUITE 600 |
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City WASHINGTON |
State or Country (if foreign address) DC |
ZIP Code 20006 - 1809 |
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Telephone Number (include area code) 2024298970 |
E-Mail Address (if available) BMADDEN@LERMANSENTER.COM |
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3. | Purpose: Engineering STA |
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Extension of Existing Engineering STA File Number: BSTA - 20090721ACC | ||||
Legal STA | ||||
Extension of Existing Legal STA | ||||
4. | Service: AM | |||
5. | Community of License: City: BLOOMINGTON State: IN |
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6. | 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/Permittee Other N/A (Fee Required) |
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7. | Environmental Protection Act. The proposed facility is excluded from environmental processing under 47. C.F.R. Section 1.1306 (i.e., The facility will not have a significant environmental impact and complies with the maximum permissible radiofrequency electromagnetic exposure limits for controlled and uncontrolled environments). Unless the applicant can determine compliance through the use of the RF worksheets in Appendix A, an Exhibit is required. By checking "Yes" above, the applicant also certifies that it, in coordination with other users of the site, will reduce power or cease operation as necessary to protect persons having access to the site, tower or antenna from radiofrequency electromagnetic exposure in excess of FCC guidelines. |
Yes No See Explanation in |
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8. |
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[Exhibit 34] | ||
9. |
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Yes No |
I hereby certify that the statements in this application are true, complete, and correct to the best of my knowledge and belief, and are made in good faith. I acknowledge that all certifications and attached Exhibits are considered material representations.
Typed or Printed Name of Person Signing
R. GEOFFREY VARGO |
Typed or Printed Title of Person Signing VICE PRESIDENT --RADIO |
Signature |
Date (mm/dd/yyyy) 01/24/2011 |
WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1)), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503).