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MOBILE-CELLULAR-COMMUNICATION TOWER ro <br /> 6 � � <br /> LAND USE PERMIT APPLICATION ti b <br /> Q N HJ <br /> V1 <br /> Burnett County, WI a <br /> o <br /> Permit Fees: <br /> New Tower $3000 p <br /> Class I Collocation 53000 <br /> io <br /> Class 2 Collocation I $500 <br /> L) 1 <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is three times the normal fee. <br /> cto <br /> *New Tower and Class 1 Collocation—this fee includes permits for related structures on the ground. <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 <br /> Burnett County regulates the placement of and/or modification to towers in accordance with Chapter 30,Burnett County i <br /> Code of Ordinances,Chapter 66.0404 Wisconsin Stats.,and 2013 Wisconsin Act 20(which was enacted by Wisconsin on v <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 ° <br /> is reviewed,the applicant will be notified if more information is needed,or an issued permit will be mailed to the applicant. o <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. <br /> Class 2 Collocation means the placement of a new mobile service facility on an existing support structure,such that the o N <br /> owner of the facility does not need to construct a free standing support structure for the facility or engage in substantial c <br /> modification. <br /> m <br /> iP <br /> Substantial modification means the modification of a service support structure including the mounting of an antenna <br /> on the structure that does any of the following: R! <br /> - For structures with an overall height or 200 ft or less,increases the overall height of the structure by more than o <br /> 20 ft �. <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 C7 <br /> Measured at the level of the appurtenance added to the structure as a result of the modification,increases the . t <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 /> 11 ppJicant` ompleteAll Sections Below This Ling <br /> Parcel Owner Name: AT&T Mobility(Lessee) t� <br /> r- L� <br /> Parcel Owner Mailing Address:SMI International on behalf of AT&T Mobilityz <br /> 49030 Pontiac Trail Suite 100 Wixom,MI 48393 �' t <br /> City State Zip <br /> Applicant's Name: Audra Kohler on behalf of AT&T Mobility <br /> Applicant's Business Name:SMJ International on behalf of AT&T Mobility Fee Rec.-71;0°OD <br /> Applicant's Mailing Address: 49030 Pontiac Trail Suite 100 Wixom, MI 48393 0 <br /> City State Zip <br /> Applicant's Telephone Number: 810-542-0572 W <br /> Applicant's Email: akohler@smj-llc.com 1 <br /> Z <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. N — � <br /> ❑Letter ❑Phone ❑x Emailaj C4 <br /> Page 1 of5 C L�i Cl�ll <br /> Burnett County,WI Tower Application—Rev 3/2015 <br />