What information does the application ask for?

It asks for applicant and contact details, site and antenna information, licensed radio service, frequencies, transmitter power, and whether an RF exposure assessment is required.

When is an RF exposure assessment required?

The form says to provide one if the proposed facility’s transmitter power exceeds 5.6 Watts RMS, cumulative, into a single antenna placed in the right of way.

Mesa, AZ · Maricopa County

No notary required

Small Wireless Facilities Site License Application

Wireless facility applicants use this application to provide Mesa with site, company, antenna, and radio-frequency information for a proposed site license.

What this form is

This application provides Mesa with information about a proposed small wireless facility site in the right of way. Applicants provide company and contact details, site and antenna information, radio frequencies, and transmitter power. When transmitter power exceeds 5.6 Watts RMS into a single antenna, the application calls for an RF exposure assessment and supporting documentation. The form also describes the site license terms and review process.

Who needs it

Companies applying for a Mesa small wireless site license provide this application and, when required, an RF exposure assessment and supporting documentation.

How to submit it

The document identifies the City’s DIMES online permit application system for submitting a completed application. For additional information, contact the Right of Way Manager at 480-644-2503.

About notarization

This application is signed and dated without a notary; any required RF exposure assessment and supporting documentation are attached, with no sworn or notarized step stated.

How to submit this form

1
Download The Application
Download the Small Wireless Facilities Site License Application PDF.
2
Complete The Application
Provide applicant contacts, site and antenna details, radio information, transmitter power, and the requested RF exposure assessment response.
3
Gather Required Attachments
If required, include the RF exposure assessment, supporting documentation, and a photograph or drawing identifying the antenna location.
4
Submit To Mesa
Submit the completed application through the DIMES online permit application system identified in the document.

Frequently asked questions

Do I need a notary for the Small Wireless Facilities Site License Application?: No. The application is signed and dated without a notary. Any required RF exposure assessment and supporting documentation are attachments; no sworn or notarized step is stated.
How do I submit the Small Wireless Facilities Site License Application?: The document identifies Mesa’s DIMES online permit application system for submitting a completed application. Contact the Right of Way Manager for additional information.
What information does the application ask for?: It asks for applicant and contact details, site and antenna information, licensed radio service, frequencies, transmitter power, and whether an RF exposure assessment is required.
When is an RF exposure assessment required?: The form says to provide one if the proposed facility’s transmitter power exceeds 5.6 Watts RMS, cumulative, into a single antenna placed in the right of way.

Need something notarized?

This Small Wireless Facilities Site License Application doesn’t need a notary — but if you have another Mesa form that does, a commissioned online notary can help.