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Signature of Applicant
If you cannot certify to all of the above statements, you are not eligible for a Temporary Permit. Willful fals
statements made 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 47, Section 503).
3
TECHNICAL
INFORMATION
Location of Control Station(s) or point(s)
Location of Existing Licensed Facility
Number of Mobile Units Licensee Presently Operating on the Shared Facility
Call SignName
4
TEMPORARY
CALL SIGN
Complete the blocks as indicated.
Use this temporary call sign until a call sign is assigned by the Federal Communications Commission.
Your temporary call sign will consist of the letters “WT” plus your business
residence telephone number.
W
T
Your authority under this Permit is subject to all applicable treaties, statutes and rules a
is subject to the right of use or control by the Government of the United States.
This Permit is valid for 180 days from the date the Form 574 is mailed to the FCC.
You must have a Temporary Permit or a license from the FCC to operate your Genera
Mobile Radio Service system transmitters.
This Temporary Permit must be kept with your station records until your license is receive
5
LIMITATIONS
DO NOT SUBMIT THIS FORM TO THE FCC
FCC 574T
March 1998