What is the Small Wireless Facilities Site License Template?

It is an agreement template for a City of Mesa wireless site license, with fields for the company, site, equipment, fees, permits, license term, and signatures.

Who uses this site license template?

A company entering a wireless site license with the City of Mesa can use the template to record the license terms and the parties’ signatures.

Do I need a notary for the Small Wireless Facilities Site License?

No. The template has signature and date lines but no notary block or notarized attachment; the parties sign and date the agreement.

How do I submit the site license?

The template does not give submission instructions or contact details. Submit it to the city department named on the form; check the city website for current contact details.

Mesa, AZ · Maricopa County

No notary required

Small Wireless Facilities Site License Template

This template establishes a site license between the City of Mesa and a company for wireless facilities at a designated site.

What this form is

The template records the company and site details, licensed area and equipment, frequency notice, fees, permits, and license term. The company and City of Mesa sign and date the agreement to document the site license; the template refers to separate Small Cell Wireless Terms and Conditions and a site survey.

Who needs it

A company seeking to document a small wireless facilities site license with the City of Mesa can use this template.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; it contains no notarized or sworn attachment, so the parties sign and date the agreement.

How to submit this form

1
Download The Template
Download the Small Wireless Facilities Site License Template as a PDF.
2
Complete The Agreement
Enter the company and site information, equipment details, fees, effective date, license term, and licensee signature details.
3
Gather Referenced Details
Use the site survey and Small Cell Wireless Terms and Conditions referenced in the agreement to complete applicable fields.
4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Small Wireless Facilities Site License Template?: It is an agreement template for a City of Mesa wireless site license, with fields for the company, site, equipment, fees, permits, license term, and signatures.
Who uses this site license template?: A company entering a wireless site license with the City of Mesa can use the template to record the license terms and the parties’ signatures.
Do I need a notary for the Small Wireless Facilities Site License?: No. The template has signature and date lines but no notary block or notarized attachment; the parties sign and date the agreement.
How do I submit the site license?: The template does not give submission instructions or contact details. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

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