Please fill in all the required information below. The information provided herein and the information required per the PWSF Checklist and
Instructions will constitute your application submission for PWSF Review. This application and all documents required in the Checklist and
Instructions must be submitted online at https://epermits.elpasotexas.gov/CitizenAccess/. Any questions regarding this application or a
proposed project can be answered by Andrew Salloum at salloumam@elpasotexas.gov or Raul Garcia at garciar1@elpasotexas.gov.
CITY OF EL PASO PERSONAL WIRELESS SERVICE
FACILITY(PWSF)
REVIEW APPLICATION
Within 30 days of receipt of this completed application along with the required documentation, City staff will review the application for
c
ompleteness and notify the applicant if any information is missing. Notice of an incomplete application will stop the applicable timeline for the
City to review and act on the application, until such time as the City receives all of the missing information. The remaining time for the City to
review and act on the application does not start again until all the missing information has been provided to the City.
SECTION 1.00 APPLICANT INFORMATION
See Instructions Section 1.00 for more information on how to complete this section. Provide full legal name of all applicants, representatives, and
property owners. Include full names of individuals and corporate entities.
1.1 PROPERTY OWNER(S):
ADDRESS: CITY: STATE: ZIP CODE:
PHONE: FAX: EMAIL:
1.2 APPLICANT:
ADDRESS: CITY: STATE: ZIP CODE:
PHONE: FAX: EMAIL:
1.3 REPRESENTATIVE:
ADDRESS: CITY: STATE: ZIP CODE:
PHONE: FAX: EMAIL:
SECTION 2.00 TYPE OF PWSF APPLICATION FOR PURPOSES OF LAW: SECTION 332 (c)(7) OR SECTION 6409 (a)
Information in this section will be used to determine the appropriate application process and timeline for the proposed project. This completed
application must be accompanied by a detailed statement supporting the answers to the following questions. For information about supporting
documentation that will be required for Questions 2.1 and 2.2 below, see Instructions.
2.1
PROJECT INFORMATION FOR DETERMINATION OF PROJECT TYPE
Is this project limited to a collocation under Section 332(c)(7)
Is this project limited to modification under Section 6409?
Is this project to construct a new tower or something other than the above?
2.2
PLEASE DESCRIBE PROPOSED IMPROVEMENTS TO DETERMINE ELIGIBILITY FOR SHORTER 60 OR 90 DAY REVIEW:
a. Tower height: Existing: Proposed:
b. Tower width (with protrusions): Existing: Proposed:
c. Number of cabinets: Existing: Proposed:
d. Height of cabinets: Existing: Proposed:
e. Width of cabinets Existing: Proposed:
f.
Number of equipment shelters:
Existing: Proposed:
g.
Equipment shelter
height:
Existing: Proposed:
h.
Equipment shelter
width:
Existing: Proposed:
i. Number of antennas: Existing: Proposed:
j. Antenna height: Existing: Proposed:
k. Antenna width: Existing: Proposed:
l. Is the excavation or deployment outside the current boundaries of the leased or owned property surrounding the
tower and any access or utility easement related to the site?
If yes, show on site plan.
YES NO
APPLICATION NUMBER: ________________ DATE RECEIVED: ____________
Doc#395498
Matter#15-1007-1341
