Wireless Tower Agreement Renewal Only

EXISTING BALTIMORE COUNTY AGREEMENT HOLDERS

Use this form if you need to renew a Baltimore County antenna collocation license agreement without making site modifications.

Do not use this form if you are planning to make site modification in addition to renewing your Baltimore County license agreement. Use the agreement renewal with site modification form.

Please allow up to 10 business days for a response to your inquiry.

Fields marked with an asterisk are required.

SITE ACQUISITION OR DEVELOPMENT COORDINATOR INFORMATION

Coordinator Name

First Name

Last Name

Company Name

Office Phone Number

Phone Extension

Cell Phone Number

Mailing Address

Address

Address 2

City

State

ZIP Code

WIRELESS SERVICE PROVIDER (WSP) INFORMATION

Company Name

Company Mailing Address

Address

Address 2

City

State

ZIP Code

Contact Name

First Name

Last Name

Contact Office Phone Number

Contact Phone Extension

Contact Cell Phone Number

Contact Email

Type of Structure

Site or Property Information

Skip this section if no WSP information is available.

WSP Site Name, if applicable

WSP Site Number, if applicable

Baltimore County Site Name, if known

County Parcel ID Number

Property Address

Address

Address 2

Nearest Intersection

Raw Land

Yes

Latitude

Longitude

Describe Your Inquiry or Intent

250 character(s) remaining

Contact

Office of Information Technology

Historic Courthouse
Room 33
400 Washington Avenue
Towson, Maryland 21204

Hours

Monday through Friday
8:30 a.m. to 4:30 p.m.

Email

celltower@baltimorecountymd.gov

Phone

410-887-2441