Gardena, CA · Los Angeles County
Wireless Telecom Facility Permit Application Cover Page
This cover page identifies the applicant, property owner, and proposed site for a wireless telecom facility permit application submitted to Gardena.
What this form is
Applicants submit this cover page with the Application Checklist and all information and materials required by the Application Guidelines. It requests contact details for the applicant, authorized representative, and property or pole owner, along with the project address, site details, and project description. Gardena may deem the application incomplete if required information or materials are missing.
Who needs it
Applicants seeking a wireless telecom facility permit in Gardena must submit this cover page with the Application Checklist and required application materials.
How to submit it
Applications may be submitted by appointment only; contact the Community Development Department for an appointment. The form lists Community Development at 1700 W. 162nd Street, Gardena, CA 90247.
About notarization
This cover page has no notary block; the property owner and, if different, the applicant or authorized representative sign and date it.
How to submit this form
- 1
Download The Cover Page
Download the Wireless Telecom Facility Permit Application Cover Page PDF.
- 2
Complete The Cover Page
Enter the applicant and owner contact details, site information, and project description.
- 3
Gather Required Materials
Include the Application Checklist and all information and materials provided in the Application Guidelines.
- 4
Arrange An Appointment
Contact the Community Development Department to arrange an appointment; applications may be submitted by appointment only.
Frequently asked questions
- Who submits the Wireless Telecom Facility Permit Application Cover Page?
- Applicants seeking a wireless telecom facility permit submit it with the Application Checklist and all information and materials required by the Application Guidelines.
- What information does the cover page request?
- It asks for applicant, representative, and property or pole owner contact details, property and site information, and a description of the project.
- How do I submit the application?
- Applications may be submitted by appointment only. Contact Gardena’s Community Development Department for an appointment; the form lists its address as 1700 W. 162nd Street, Gardena, CA 90247.
- Do I need a notary for the Wireless Telecom Facility Permit Application Cover Page?
- No. This cover page has no notary block; the property owner and, if different, the applicant or authorized representative sign and date it.
Need something notarized?
This Wireless Telecom Facility Permit Application Cover Page doesn’t need a notary — but if you have another Gardena form that does, a commissioned online notary can help.