Signal Hill, CA · Los Angeles County

No notary required

Small Wireless Facility Application

Telecommunications applicants use this application to request city approval for a proposed small wireless facility in the public right-of-way.

What this form is

The application requests information about the applicant, telecommunications carrier, pole owner, and proposed site, along with details about the facility and its equipment. Applicants submit it to the Public Works Department with the required permit fee, deposit, and supporting exhibits. Materials include site plans, photographs, technical analyses, proof of public notice, and other documentation listed in the application.

Who needs it

A telecommunications applicant proposing to install a small wireless facility in the public right-of-way needs to submit this application.

How to submit it

Submit the application to the Public Works Department by appointment, with three hard copies and one electronic copy. The application lists the Public Works Counter submission hours as 10:00 AM–1:00 PM on Monday or Tuesday, excluding holidays, and requires a $5,000 deposit per facility.

About notarization

This document is signed and dated without a notary; the application lists no notarized or sworn attachment, so the authorized applicant representative just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the Small Wireless Facility Application and review its instructions and submittal requirements.

  2. 2

    Complete The Application

    Provide applicant, carrier, pole owner, and proposed site information, then sign and date the application.

  3. 3

    Gather Required Exhibits

    Prepare the listed supporting exhibits and required copies, including three hard copies and one electronic copy.

  4. 4

    Submit To Public Works

    Arrange an appointment and submit the application to the Public Works Department with the required deposit and permit fee.

Frequently asked questions

What does the Small Wireless Facility Application request?
It requests applicant, carrier, pole owner, and proposed site information, plus exhibits and supporting materials for a proposed small wireless facility.
How do I submit the Small Wireless Facility Application?
Submit it to the Public Works Department by appointment, with three hard copies and one electronic copy. The form lists counter hours as 10:00 AM–1:00 PM on Monday or Tuesday, excluding holidays.
Do I need a notary for the Small Wireless Facility Application?
No. This application is signed and dated without a notary. It lists no notarized or sworn attachment; the authorized applicant representative just signs and dates it.
What materials must accompany the application?
The listed exhibits include facility volume tables, a narrative, site photographs and simulations, drawings, maps, analyses, proof of public notice, and other supporting documents.

Need something notarized?

This Small Wireless Facility Application doesn’t need a notary — but if you have another Signal Hill form that does, a commissioned online notary can help.