WIRELESS COMMUNICATION FACILITY APPLICATION

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21 Νοε 2013 (πριν από 3 χρόνια και 6 μήνες)

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WIRELESS APPLICATION L:\ WORDPROC\ADMIN\DIRECTOR\FORMS\wcf_form2.doc






TYPE OF APPLICATION:




ACCESSORY ($100)



CO-LOCATED ON EXISTING FREESTANDING ($300)




ATTACHED WCF ($300)


FREESTANDING WCF ($1000)


APPLICANT’S NAME: ADDRESS: PHONE:


DEVELOPER’S NAME: ADDRESS: PHONE:


ADDRESS/DESCRIPTION OF PROPERTY: ZONE DISTRICT:


DESCRIPTION OF WORK:







SUBMITTAL REQUIREMENTS:

The applicant shall provide the following information according to the TYPE of installation:

TYPE


A.
Wireless Communication Facilities (WCF) or Accessory Wireless Communication Antennae

B.
Attached and Freestanding Wireless Communication Facilities

C.
Freestanding Wireless Communication Facilities




A,B,C
A completed application;
A,B,C
Site and elevation drawings showing the type, size, height, and location of the proposed antenna;
A,B,C
An explanation on the plan or separate sheet addressing how the applicable “Standards” referenced in TMC §11.20.080,
§11.20.090, §11.20.100, §11.20.160, and §11.20.170 will be met.;

B,C
Computer model overlay maps (3-color predictive coverage models) showing existing WCF sites operated by the applicant
which are close enough to impact service within the City and their current coverage (if applicable), and another showing the
effects of the proposed site on coverage;
B,C
Drive test field test results mapping actual coverage. Coverage information is to be included in the application as
“proprietary information” for review only and will not be subject to public disclosure;
B,C
Information identifying radio frequencies to be transmitted from the facility, and technical documentation demonstrating
compliance with Federal Communications Commission standards for radio frequency emissions;
C
A completed Conditional Use Permit application except in ARI, LI and HI zones districts where freestanding WCF’s are
permitted uses;
C
A diagram or map showing the viewshed of the proposed facility;
C
Photo simulations of the proposed facility from affected residential properties and public rights-of-way at varying distances;
C
A site/landscaping plan showing the specific placement of the WCF on the site; showing locations of existing structures;
trees, and other significant site features; and indicating type and location of plant materials used to screen WCF components
and proposed colors for the WCF;


In addition to the requirements listed above, the WCF service provider agrees to:

1. Co-locate with other providers on the applicant’s structure or within the same site location; and
2. That the WCF service provider will remove the facility and related equipment if the site is abandoned as a result of discontinued
use for six (6) months or if the site falls into disrepair; and
3. That if a WCF service provider fails to remove the facility within ninety (90) days after notice of abandonment by the City of
Tumwater, responsibility for removal shall fall upon the landholder.

APPLICANT DATE OWNER / AUTHORIZED REPRESENTATIVE DATE


DEVELOPMENT SERVICES DIRECTOR DATE CITY ATTORNEY DATE


WIRELESS COMMUNICATION
FACILITY APPLICATION

Development Services Department


555 Israel Rd SW — Tumwater, WA 98501

PH: (360)754-4180 — FAX: (360)754-4126 — E-MAIL: devsvcs@olywa.net