Agreement Renewal With Site Modification Inquiry

EXISTING BALTIMORE COUNTY AGREEMENT HOLDERS ONLY

Use this form if you would like to renew your Baltimore County license agreement and make site modifications.

Do not use this form if you are not making site modifications in addition to renewing your agreement. Use the agreement renewal only form to renew your license agreement.

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
Mailing Address
WIRELESS SERVICE PROVIDER (WSP) INFORMATION
Complete the following WSP information about the WSP you are representing or check the box if no WSP associated at this time.
Company Mailing Address
Contact Name
Request Details
Site or Property Information
Property Address