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Phone number:
FAX number:
Email address (required to receive emailed receipt):
Ship product to:
Send invoice to:
Site Study
Area Study Area Study radius:
Follow-up to Previous Study KP Study Number:
FAA 7460-1 Sign for me and send to FAA
FAA 7460-1 (only if required) Send completed FAA 7460-1 to me

Name, title, company, phone, & address for 7460-1:
(if different from above)

Site name:
Site number:
Market name:
Nearest city:
Site elevation:
ft. at base of structure.
Proposed structure height:
ft. above ground
Existing structure height:
ft. above ground

Type of structure: Tower |Building |Water Tank |Wind Turbine

NAD 27 NAD 83
Surveyed Data
FAA Study Number:

Marking & Lighting:

Paint Red Lights 24 Hr. White Strobe Dual Omission

Frequencies & ERP:
(Be as specific as possible)

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Email Priority Mail Overnight

Ken Patterson's Last Name:

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Ken Patterson | p:770.461.0563 | f:501.638.5264 |

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