| 1. |
Legal Name of the Applicant
BOULDER CREEK RECREATION AND PARK DISTRICT
|
Mailing Address
PO BOX 325
|
City
BOULDER CREEK |
State or Country (if foreign address)
CA |
Zip Code
95060 - |
Telephone Number (include area code)
8313384144 |
E-Mail Address (if available)
BCRPD2@GMAIL.COM |
Call Sign
KBCZ |
Facility ID Number
175847 |
| 2. |
Contact Representative (if other than licensee/permittee)
HALLIE GREENE
|
Firm or Company Name
BOULDER CREEK RECREATION AND PARK DISTRICT
|
Mailing Address
PO BOX 325
|
City
BOULDER CREEK |
State or Country (if foreign address)
CA |
ZIP Code
95006 - |
Telephone Number (include area code)
8313384144
|
E-Mail Address (if available)
BCRPD2@GMAIL.COM
|
| 3. |
Purpose:
 Notification of Suspension of Operations |
| Notification of Suspension of Operations and Request for Silent STA |
| Request for Silent STA |
| Request to Extend STA |
 Resumption of Operations |
| 4 |
Community of License:
City: BOULDER CREEK State: CA |
| 5. |
Date station went silent: 05/28/2014
|
| 6. |
Date station commenced operation: 04/25/2015 (mm/dd/yyyy)
|
| 7. |
| Please explain under which parameters the facility commenced operations (i.e. license, technical sta, construction permit) |
|
[Exhibit 3] |
I hereby certify that the statements in this application are true, complete, and correct to the best of my kowledge and belief, and are made in good faith. I acknowledge that all certifications and attached Exhibits are considered material representations.
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).