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NOV 20 '95 17:07 CITY OF BURNSVILLE <br />CITY OF BURNSVILLE <br />Burnsville, Mu nesota <br />P.2 <br />Heather Hi11S (HH) <br />Colonial Hills (CH) <br />ANTENNA SITE APPLICATION FORM <br />CV` provide the following information: <br />1. Name of Applicant: <br />2. Address of Applicant: <br />3. Contact Person for Applicant: <br />4. Telephone Number for #3: <br />5. Proposed Radio Band: <br />6. Proposed Radio Frequency (s): <br />7 Technical Advisor (if any): <br />Please provide the following technical data: <br />8. What type of Service (SMR, ESMR, Two -Way Paging, etc.) <br />Proposed Base Station (s): Mfg. <br />Model: <br />9. Mfg. and Model of Isolator: <br />10. Mfg. and Model of Duplexer: <br />11. Mfg. and Model of Filters: <br />Power Output: <br />Antenna Type: <br />12. Date of Proposed Operation: <br />13. Describe space and AC power requirements: <br />14. Signature: Date: <br />15. After all available information has been included above, mail the application form together with the fw <br />of S325.00 per frequency pair for: single user, RCC, Cellular and/or Trunldng and: $1,025.00 per channel for <br />EMSR to: <br />C]TY OF BURNSVILLE <br />Linda Gloor, Technical Services Coordinator <br />100 Civic Center Parkway <br />Burnsville, MN 55337 <br />Questions regarding this application can be directed to: Linda at 612-895-4537. A copy of the Technical <br />Minimum Site Standards is attached. <br />