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MOBILE-CELLULAR-COMMUNICATION TOWER (J) b <br /> LAND USE PERMIT APPLICATION o y <br /> Burnett County, WI <br /> a � <br /> Permit Fees: ! VJ <br /> New Tower $3000 V o <br /> Class 1 Collocation $3000 <br /> jj <br /> Class 2 Collocation $500 n <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is three times the normal fee. <br /> *New Tower and Class 1 Collocation-this fee includes permits for related structures on the ground. r <br /> *Class 2 Collocation—this fee does NOT include permits for structures on the ground. A separate land use permit <br /> will be needed or structures on the ground v <br /> Burnett County regulates the placement of and/or modification to towers in accordance with Chapter 30,Burnett County <br /> Code of Ordinances,Chapter 66.0404 Wisconsin Stats.,and 2013 Wisconsin Act 20(which was enacted by Wisconsin on <br /> 7/1/2013). This permit application,once received by the Zoning Office,shall serve as the official notification to begin r <br /> application review,and permit issuance time constraints referenced in the above mentioned regulations. Once the application z <br /> is reviewed,the applicant will be notified if more information is needed,or an issued permit will be mailed to the applicant. 0 <br /> Class 1 Collocation means the placement of a new mobile service facility on an existing support structure,such as the <br /> owner of the facility does not need to construct a free standing support structure for the facility,but does need to engage <br /> in substantial modification. d <br /> z <br /> Class 2 Collocation means the placement of a new mobile service facility on an existing support structure,such that the <br /> owner of the facility does not need to construct a free standing support structure for the facility or engage in substantial a <br /> modification. <br /> O <br /> m <br /> Substantial modification means the modification of a service support structure including the mounting of an antenna 93 <br /> on the structure that does any of the following: 9 <br /> - For structures with an overall height of 200 ft or less,increases the overall height of the structure by more than N °Q <br /> 20 ft a. <br /> - For structures with an overall height of more than 200 ft,increases the overall height of the structure by 10 w <br /> percent or more <br /> H <br /> - Measured at the level of the appurtenance added to the structure as a result of the modification,increases the 3. <br /> width of the support structure by 20 ft or more,unless a larger area is needed for collocation <br /> Increases the square-footage of an existing equipment compound to a total area of more than 2,500 square feet o <br /> 1 � <br /> 1 <br /> Applicant Complete All Sections Below This Line s <br /> Parcel Owner Name: "/j p 11 (741- G <br /> r <br /> Parcel Owner Mailing Address: C.L U <br /> z <br /> L p�z <br /> City State 2ip <br /> Applicant's Name: Ila LVed iA / A 1�� <br /> Applicant's Business Name: act( i L" IT,9�� he h if of 'A l t IT c- � Fee Rec:�w- <br /> Applicant's Mailing Address: �Ildl� S C0144L L," �r/1 1�(A/r'/tlots,C TL GoJa? o <br /> City State Zip o <br /> Applicant's Telephone Number: �/3 7 l© 2 n C <br /> " M o <br /> Applicant's Email: z <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. <br /> ❑Letter Phone Email o <br /> Page 1 of 5 N Z <br /> Burnett County,WI Tower Application—Rev 3/2015 --� <br /> �J <br />