(A) Application form.
WIRELESS AND CELLULAR TELECOMMUNICATIONS
TOWERS AND FACILITIES APPLICATION
Pursuant to § 154.137 of the Village of Grand Rapids’ Zoning Ordinance, all Wireless and Cellular Telecommunications carriers and service providers that offer to provide any telecommunications services for a fee directly to the public, either within the Village of Grand Rapids or outside the corporate limits from telecommunications facilities within the Village, shall attend a pre-application conference and prepare an application.
Is this a request for: (Please check the following)
Construction of a new telecommunication tower.
Co-location of telecommunications facility on existing tower.
Telecommunications facility attachment to existing structure.
a. SITE INFORMATION
Telecommunication Company (Service Provider) | Name of Office or Authorized Agent | ||
Address | Title | ||
City, State, Zip | Phone/Fax/E-mail | ||
Address where Telecommunications Facility is located | |||
Size of Parcel | acre of sq. ft. | Zoning of Parcel | Lineal Feet Distance from Closest Residential Land Use/District |
b. ATTACHMENTS:
Plan requirements for the construction of a new wireless/cellular telecommunications tower and for the co-location of telecommunications equipment is set forth in § 154.140 of the Grand Rapids Zoning Ordinance. In addition, all registrants shall attach the following information to the wireless/cellular telecommunications application:
1. A description of the telecommunication services that the registrant intends to offer or provide to persons, firms, businesses or institutions within the Village.
2. Information sufficient to determine that the applicant has applied for and received any construction permit, operating license or other approvals required by the Federal Communications Commission (FCC) to provide telecommunications services or facilities within the Village.
3. For any telecommunications facilities which are co-located, provided information as to the names of other service providers located on the tower, and the expiration date of the lease for co-location.
c. FEES:
Application Fee: Each application shall be accompanied by the following fee:
Co-located facility: $150.00
Telecommunication tower $250.00
Amount Paid Date Received by
d. CERTIFICATION:
I certify that the following information, including any attachments, is correct to the best of my knowledge. I understand that knowingly falsifying this information may be grounds for the denial of this application.
Printed Name and Title Signature
(B) Renewal form.
WIRELESS AND CELLULAR TELECOMMUNICATIONS
TOWERS & FACILITIES RENEWAL
Pursuant to § 154.141 of the Village of Grand Rapids’ Zoning Ordinance, all wireless and cellular telecommunications carriers and service providers that offer to provide any telecommunications services for a fee directly to the public, either within the Village or outside the corporate limits from telecommunications facilities within the Village, shall register with the Village and shall adhere to the requirements specified in §§ 154.135 through 154.147.
REGISTRATION:
Telecommunications Company (Service Provider) | Name of Office or Authorized Agent | ||
Address | Title | ||
City, State, Zip | Phone/Fax/E-mail | ||
Address where Telecommunications Facility is located | |||
Size of Parcel | acre of sq. ft. | Zoning of Parcel | Lineal Feet Distance from Closest Residential Land Use/District |
Date of Original Application | |||
CHANGE OF INFORMATION:
Each service provider registered with the Village shall inform the Village within 60 days of any change in information on the registration form.
FEES:
Registration must be renewed on an annual basis, at the beginning of each year. A one hundred fifty dollar ($150.00) fee plus one dollar ($1.00) for each foot of tower must accompany the registration.
CERTIFICATION:
I certify that the following information, including any attachments, is correct to the best of my knowledge. I understand that knowingly falsifying this information may be grounds for the denial of this application.
Printed Name and Title Signature
FOR VILLAGE USE ONLY:
Amount Paid Date Received by
(Prior Code, Part 12, Title Six, Appendix A and Appendix B) (Ord. 2002-11, passed 11-25-2002)