F.C.C. File No. T--D------
Month -------- Year --------________________________________________________________________________
(Name of applicant)________________________________________________________________________
(Address of applicant)
In the matter of Proposed Reduction in Hours of Service of a Public Coast Station Pursuant to Sec. 63.70 of the Commission's rules. Data regarding public coast station_____________________________________
(Call and address)Present hours:
Monday through Friday__________________________________________________
Saturday_______________________________________________________________
Sunday_________________________________________________________________Proposed hours:
Monday through Friday__________________________________________________
Saturday_______________________________________________________________
Sunday_________________________________________________________________Proposed effective time and date of change Average number of messages handled for month of ----------------, 19----
during total hours to be deleted_______________________________________
during maximum hour to be deleted______________________________________
Data regarding substitute service to be provided by other public coast stations available and capable of providing service to the community affected, or in the marine area served by the public coast station involved: ------------------------------------------------------------------------
Hours of service
--------------------------
Station call and location Operated Monday
by thru Saturday Sunday
Friday------------------------------------------------------------------------
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Request for Designation as a Recognized Private Operating Agency