Satellite Dish Request Form

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This work will be performed by:

List address and phone if outside contractor is to be used:


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Additional Contact Information


Please read the following carefully before submitting:

1. Any satellite dish shall be less than 1 meter in diameter.

2. National Electric Code (NEC) Standards require that all DBS Antenna and related LNB’s be
grounded. NEC Standards require that an approved grounding source must be within 20 feet
of the ground block. Further, that the grounding wire used to connect the ground block to the
grounding source will be of at least 10awg size. No grounding rods may be installed that are
not back bound to the existing utility ground.

3. Location of the satellite dish shall be at the discretion of the Board of Directors and may not
be installed without the express written consent of the Board of Directors.

4. The satellite dish must be reasonably concealed from the sight line of street traffic throughout
the site.

5. Cable for the satellite dish may not be routed along the exterior surface of the building.

6. The approved location for a satellite dish by the Board of Directors shall be awarded on a
case-by-case basis by the Board of Directors. Upon receipt of an approved application for
installation of a private satellite dish on the common or limited common elements of Dover
Hill, the owner of the satellite dish shall agree to the following:

a. To indemnify and hold the Association harmless for any damage caused to the
common or limited common elements of the association and/or any liability arising
from the location and installation of the satellite dish.
b. To maintain the satellite dish and any related hardware in a manner that causes the
equipment to remain reasonably attractive and in sound structural condition.
c. To restore any damage to the common or limited common elements as a result of
installing, maintaining, removal or replacement of the satellite dish.
d. To hold the Association and its vendors harmless for any damage caused to the
satellite dish or related equipment in the course of providing maintenance services to
the Association, such as lawn maintenance, snow removal, etc.

7. The location, use and entitlement to these devices, and these rules governing the same, shall
be subject to change as the Federal Communications Commission promulgates future
regulations. There shall be no vested rights created by any approval; all approvals being
simply a license granted on a temporary, conditional basis.

8. In accordance with the terms listed above., I request permission to install a private satellite
dish in the following manner and at the location described below (please choose one option):

By checking this box, I have read, understand and agree to the terms and conditions stated.