Small Cell Feasibility Review Request

Please fill out the form below and upload a PDF file per site.

Submittal Date*

Carrier*

Select or enter value

Carrier Site ID#*

May be used only once. For resubmittals for the same Carrier, an additional identifier letter or number to distinguish between locations. Example: 1st submittal - ATX1 2nd submittals - ATX_A

Intersection/Address*

Lat*

Long*

Pole#*

If no pole number, submit N/A ***NOTICE*** If the proposed pole is an Austin Energy pole, the pole number is mandatory or request will be rejected.

Pole Owner*

AEDP - Austin Energy Distribution Pole AEMSLP - Austin Energy Metal Streetlight Pole ATD - Austin Transportation Dept. Traffic Signal Pole NODE SUPPORT - Free-Standing Node Support Pole AT&T - AT&T Utility Pole OTHER

Select

Node Location*

Select

Priority*

Select or enter value

Parkland*

Is this site located in or adjacent to a City Municipal Park

Select

Applicant Comment

Company Contact*

Contact Email*

File Attachments*

Attachment must include one site per submittal- must have the address, intersection, corner, GPS coordinates, photo of pole with an arrow pointing to the node site and map of each site and carrier ID.

Drag and drop files here or

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