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 to  any  applicant  as  a  result  of  the  research  conducted  by  such  applicant.  The  Regional  Planning  Committee  assumes  no  responsibility  for  any  costs  incurred  by  any  applicant  in  the  development 
 of  an  application. 
 Each  application  with  the  required  number  of  copies  is  to  be  submitted  to  the  APCO  Local  Frequency  Advisor  listed  below,  according  to  the  location  of  the  transmitter(  s).  Mark  the 
 outside  of  the  submitted  application  package:  “REGION  55  –  WINDOW  5  APPLICATION.” 
 APCO  –  NNY  Frequency  Advisor  Gary  E.  Perkins 
 607  El  Mar  Drive  Rochester,  New  York  14616-  1035 


 For  further  information  please  contact: 
 Regional  Planning  Chairperson  Regional  Vice-  Chairperson  Captain  Joseph  C.  Grube  Deputy  Director  Paul  Gajewski 
 Cattaraugus  County  Sheriff’s  Office  Law  Enforcement  Communications  301  Court  Street  74  Franklin  Street,  Room  239 
 Little  Valley,  New  York  14755  Buffalo,  New  York  14202  (716)  938-  9191  (716)  858-  6227 
 jcgrube@  cattco.  org  gajewski@  erie.  gov 
 —FCC— 
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 Attachment  B 
 Application  for  Inclusion  in  the  Region  55  New  York  Buffalo  Plan  for  Channels  in  the  821-  824/  866-  869  MHz  Band  (see  Excel  spreadsheet  file). 


 SUPPLEMENTAL  INFORMATION  FOR  COMPLETING  APPLICATION.  WHERE  APPLICABLE,  THIS  INFORMATION  SHOULD  BE  COMPLETE  AND  IN  AS  MUCH  DETAIL  AS  POSSIBLE  IN  ORDER  TO 
 ASSIST  THE  COMMITTEE  IN  DISTRIBUTING  CHANNELS. 
 1.  Details  of  engineering  survey  showing  radio  coverage  will  not  exceed  applicants’  minimum  requirements. 


 2.  Explain  how  system  will  be  used  to  communicate  with  other  service  in  other  bands. 
 3.  Explain  any  budget  commitment  that  has  been  made  for  the  proposed  system. 
 4.  Explain  how  system  will  interface  with  long  distance  radio  communications  such  as  Amateur  Radio,  satellite  communications,  and  /  or  long-  range  emergency  preparedness  communications  systems. 


 5.  Statement  of  need  for  installing  a  new  800  MHz  system. 
 6.  Explain  and  certify  that  the  applicant’s  agency  will  comply  with  the  common  channel  implementation  requirements. 


 7.  Provide  details  of  all  existing  channels  used  by  the  applicant  within  70  miles  of  the  proposed  system. 
 DO  NOT  MAKE  ENTRIES  IN  THE  TOP  LINE  1.  Leave  blank 
 2.  Leave  blank  3.  Code  name  of  service,  i.  e.,  Public  Safety,  Special  Emergency 
 4.  Enter  date  application  is  prepared.  5.  Enter  1  of  1,  1  of  2,  2  of  3,  as  appropriate. 
 6.  Enter  applicant  agency  which  will  use  frequency.  See  (25).  7.  Enter  street  address  at  (6)  above. 
 8.  Enter  name  of  City  in  which  applicant  agency  is  located.  9.  Enter  name  of  County  in  which  applicant  agency  is  located. 
 10.  Enter  two-  letter  abbreviation  for  applicant’s  state.  11.  Enter  mailing  address  Zip  code  of  applicant  agency. 
 12.  Enter  name  of  person  to  contact  in  (6)  above,  if  necessary.  13.  Enter  name  of  person  who  prepared  application. 
 14.  Enter  phone  number  including  area  code  of  (13)  above.  15.  Enter  phone  number  including  area  code  of  (12)  above. 
 16.  Enter  only  the  appropriate  one  of  the  (6)  vertical  spaces.  17.  Is  application  for  base(  s)  and  mobile(  s)? 
 18.  Enter  only  the  appropriate  one  of  the  (4)  vertical  spaces.  19.  Enter  call  sign(  s)  of  existing  license(  s),  if  any,  which  are  effected  by  this  application. 
 See  Item  (34)  below.  20.  Check  appropriate  space(  s).  NOTE:  421-  430  MHz  available  only  in  Buffalo,  Cleveland  and 
 Detroit  areas.  21.  Check  appropriate  space(  s).  If  not  applicable,  leave  blank. 
 22.  Be  sure  this  entry  agrees  with  NEW  in  Item  34.  23.  Enter  numbers  in  appropriate  space(  s). 
 24.  Enter  complete  address  of  facility  having  system  control.  25.  Number  and  paragraph  of  appropriate  FCC  Rules  Section  90. 
 26.  Do  you  have  permission,  from  an  existing  user  of  this  frequency(  s)  within  your  area,  to  also  use  the  frequency(  s)  here  being  applied  for?  If  yes,  attach  copy  of  such  concurring  agreement. 
 27.  Enter  any  remarks  that  will  furnish  added  information.  28.  Leave  blank. 


 SUBMIT  THIS  FORM  AND  ALL  REQUIRED  ATTACHMENTS  TO: 
 APCO  –  NNY  Frequency  Advisor 
 Gary  E.  Perkins  607  El  Mar  Drive 


 Rochester,  New  York  14616-  1035 
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