Hemphill LLC Collocation Application
Lessee's Site Name
Lessee's Site No.
Hemphill Existing Site Name
Hemphill Site No.
Site Type
Existing Site
Build to Suit Site
Lessee Information
Lessee / Tenant
Entity Type
Address
City
State
Zip
Point of Contact
Phone Number
Email
Who Will Execute the Lease
Title
Invoice Contact Name
Title
Invoice Address
City
State
Zip
Phone Number
Fax Number
Email
Site Information
Site Address
City
State
Zip
Latitude
Longitude
FCC License
Call Sign
Expiration
Type of Service (Cellular, PCS, Paging, etc.)
Antenna Information
Total Number of Sectors
Total number of Antennas per Sector
Antenna Manufacturer
Antenna Model
Antenna Weight
Mounting Height in ft. (centerline)
Azimuth Degree Relative to True North
Total Number of Coax
Coax Size
Coax Manufacturer
Transmit Frequency (MHz)
Receive Frequency (MHz)
Complete Only if Using More Than One Type of Antenna
Total Number of Antennas per Sector
Antenna Manufacturer
Antenna Model
Antenna Weight
Mounting Height (ft.)
Azimuth Degree Relative to True North
Ground Equipment Information
Ground Space Required ( __ft x __ ft )
Cabinet or Building Dimensions (W x H x D)
Power Requirements
Power Required for Equipment (Volts)
Required AC Circuit Breaker (Amps)
AC Line Voltage
Generator
Inside Building
Outside Building
None
Propane Tank
Yes
No
Generator/Propane Ground Space Required ( _ ft x _ ft)
Installation
Anticipated Date of Installation
Contact
Address
City
State
Zip
Phone Number
Fax Number
Email
Submit Application
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