South Barrington, IL · Cook County
Master Pole Attachment Agreement
This agreement sets terms for a communications provider seeking to install and operate small wireless facilities on Village poles or property in South Barrington.
What this form is
The agreement establishes general terms between the Village as licensor and a communications provider as licensee; a separate License Supplement identifies each location the parties agree to license. For each proposed small wireless facility, the licensee must submit an application for a supplemental license and required permits with site, engineering, equipment, schedule, and other specified materials, plus the application fee. The agreement also calls for the licensee’s certifications in Exhibit B.
Who needs it
A communications provider seeking to install, maintain, or operate small wireless facilities on Village poles, support structures, or property needs this agreement.
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 agreement is signed without a notary; the signer just signs and dates it, and the document does not require a notarized or sworn attachment.
How to submit this form
- 1
Download The Agreement
Download the Master Pole Attachment Agreement PDF.
- 2
Complete And Sign
Enter the licensee and agreement details, then have the parties sign and date the agreement.
- 3
Gather Application Materials
For each facility, gather the site, engineering, equipment, schedule, and other materials listed in the agreement, along with the application fee and Exhibit B certifications.
- 4
Submit To The Village
Submit the agreement and required application materials to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Master Pole Attachment Agreement cover?
- It sets general terms between the Village and a communications provider for small wireless facilities on Village poles, support structures, or property. A separate License Supplement identifies each approved site.
- What materials must accompany a facility application?
- The agreement lists site and photo details, engineering analyses and drawings, equipment information, a proposed schedule, specified certifications and documentation, and the application fee.
- Do I need a notary for the Master Pole Attachment Agreement?
- No. The agreement is signed and dated without a notary, and it does not require a notarized or sworn attachment.
- How do I submit the Master Pole Attachment Agreement?
- Submit it to the city department named on the form; check the city website for current contact details.