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*Full Name :
*Company Name:
*Site Address:
*Applicant Site Name:
*Site Number:
*Proposed Antenna Centerline:
FAA Study Number:
Ground Elevation :
Beta :
Gamma :
Number of Antennas :
Manufacturer :
Model Number :
Coaxial Cable
Number :
Diameter :
Manufacturer :
Fiber Optic Cable
Number :
Diameter :
Manufacturer :
Transmit :
Receive :
Ground Space
Building :
Yes a building, the Pad Size:
(width x length)
Cabinet :
Yes a cabinet, the Pad Size:
(width x length):
Base Station Equipment :
Additional Requirements :
* Verify Code
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