DATE:___________________
PERMIT#_________________
Approved by: _____________________________________ Date: _____________________
Fee: __________________
Communication Towers, Wireless Facilities & Small Cell Facilities
Administrative Approval
City of Newport News Codes Compliance
2400 Washington Washington Ave., 3
rd
Floor, Newport News, VA 23607
Phone (757) 933-2311 Fax (757) 926-8311 email codescompliance@nnva.gov
Project Address:_________________________________________ Parcel ID:____________________
Applicant (Check One): 󠆰Owner 󠆰Applicant
Property Owner Name: _________________________________
Address:_____________________________________________
City/State/Zip_________________________________________
Phone#______________________ Fax#____________________
Email Address:________________________________________
Applicant Name:______________________________________
Applicant Address:_____________________________________
Business Name:______________________________
Telephone#: _________________________________
Email Address:________________________________________
1. Type of Structure: 󠆰 Communication Tower ≤50Feet($500) 󠆰Wireless Facility on existing Structure ($500)
󠆰Small Cell Facilities on existing Structure ($100 per facility up to 5; thereafter $50 per facility)
2. How many facilities are proposed: __________________ (max 35 small cell facilities)
3. Zoning District: __________________ 4. Right of Way:󠆰Yes 󠆰No
5. Historic District (local/federal/state): 󠆰Yes _________________________ 󠆰No
I certify that the information listed above is correct, and I have read, understand, and agree to abide by the requirements under the
provision of the code of the City of Newport News, Zoning Ordinance, Chapter 45, Article V. Section 45-523.
Applicant Signature: ____________________________________________________ Date: ____________________________
